Portoghese, Joseph D.

Portoghese, Joseph D. is an individual health care provider with primary practice located at 2415 N. Orange Ave Suite 400, Orlando FL 32804. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Portoghese, Joseph D. can be contacted via phone (407) 303-7399.

Contact Information

Primary practice address
2415 N. Orange Ave Suite 400 Orlando FL 32804
Phone: (407) 303-7399
Fax: (407) 303-7305
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 43817 Florida
Allopathic & Osteopathic Physicians / Surgery 208600000X ME0043817 Florida

Profile Details

NPI number 1841295078
LBN Legal business name Portoghese, Joseph D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated May 23rd, 2013 - about 12 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 1841295078 NPPES
Florida MEDICAID 047336700
Florida MEDICAID 048336700

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