Portal, Orlando

Portal, Orlando is an individual health care provider with primary practice located at 13150 Vail Ridge Dr , Riverview FL 33579-7187. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Portal, Orlando can be contacted via phone (813) 374-8883.

Contact Information

Primary practice address
13150 Vail Ridge Dr Riverview FL 33579-7187
Fax: (813) 443-8361
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME 100005 Florida

Profile Details

NPI number 1366626111
LBN Legal business name Portal, Orlando
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2007
Last updated Aug 19th, 2020 - about 4 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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