Oum, Rortana

Oum, Rortana is an sole proprietor health care provider with primary practice located at 3100 E Fletcher Ave , Tampa FL 33613-4613. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Oum, Rortana can be contacted via phone (813) 615-7848.

Contact Information

Primary practice address
3100 E Fletcher Ave Tampa FL 33613-4613
Phone: (813) 615-7848
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X AA68 Florida

Profile Details

NPI number 1497055685
LBN Legal business name Oum, Rortana
Credentials AAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 22nd, 2010
Last updated Oct 22nd, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497055685 NPPES
Florida Other AA68 AAC

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