Jorgensen, Ellen Verena
Jorgensen, Ellen Verena is an individual health care provider with primary practice located at 12901 Bruce B Downs Blvd Mdc 15, Tampa FL 33612-4742. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as her primary health care specialty. Jorgensen, Ellen Verena can be contacted via phone (813) 974-2583.Contact Information
Primary practice address
12901 Bruce B Downs Blvd Mdc 15
Tampa FL 33612-4742
Phone: (813) 974-2583
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | ME54437 | Florida |
Profile Details
| NPI number | 1003826744 |
|---|---|
| LBN Legal business name | Jorgensen, Ellen Verena |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Jan 4th, 2024 - about 2 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 | 1003826744 | NPPES |
| Florida | MEDICAID | 035500300 | |
| Florida | Other | 07816 |
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