Jorgenson, Michele A

Jorgenson, Michele A is an individual health care provider with primary practice located at 8787 Bryan Dairy Road Suite 230, Largo FL 33777-1258. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Jorgenson, Michele A can be contacted via phone (727) 394-5601.

Contact Information

Primary practice address
8787 Bryan Dairy Road Suite 230 Largo FL 33777-1258
Phone: (727) 394-5601
Fax: (813) 635-7938
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME92304 Florida

Profile Details

NPI number 1881647022
LBN Legal business name Jorgenson, Michele A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Feb 20th, 2012 - 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 1881647022 NPPES
Florida Other P00237982 RAILROAD MEDICARE
Florida MEDICAID 274339600 RAILROAD MEDICARE

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