Orbegozo, Mauricio

Orbegozo, Mauricio is an individual health care provider with primary practice located at 4730 N Habana Ave Ste 300, Tampa FL 33614-7163. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Orbegozo, Mauricio can be contacted via phone (844) 542-5724.

Contact Information

Primary practice address
4730 N Habana Ave Ste 300 Tampa FL 33614-7163
Phone: (844) 542-5724
Fax: (813) 864-4436
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 336-057562 Illinois
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 336-057562 Illinois
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X ME127833 Florida

Profile Details

NPI number 1851359301
LBN Legal business name Orbegozo, Mauricio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated May 17th, 2016 - about 10 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 1851359301 NPPES
Illinois MEDICAID 36097219

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