Ortolano, Edna Marie
Ortolano, Edna Marie is an sole proprietor health care provider with primary practice located at 15575 Nw 12Th Pl , Pembroke Pines FL 33028-1617. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Ortolano, Edna Marie can be contacted via phone (954) 447-9007.Contact Information
Primary practice address
15575 Nw 12Th Pl
Pembroke Pines FL 33028-1617
Phone: (954) 447-9007
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC 3259 | Florida |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 9232T | Texas |
Profile Details
| NPI number | 1235270372 |
|---|---|
| LBN Legal business name | Ortolano, Edna Marie |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 10th, 2007 |
| Last updated | Oct 23rd, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235270372 | NPPES |
| Florida | MEDICAID | 620406601 |
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