Ortega-Jimenez, Victor M.

Ortega-Jimenez, Victor M. is an sole proprietor health care provider with primary practice located at 303 N Clyde Morris Blvd , Daytona Beach FL 32114-2709. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Ortega-Jimenez, Victor M. can be contacted via phone (386) 254-4152.

Contact Information

Primary practice address
303 N Clyde Morris Blvd Daytona Beach FL 32114-2709
Phone: (386) 254-4152
Fax: (386) 254-4315
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X ME33983 Florida
Other Service Providers / Specialist 174400000X ME0033983 Florida

Profile Details

NPI number 1871673392
LBN Legal business name Ortega-Jimenez, Victor M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
Last updated Oct 14th, 2015 - about 11 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 1871673392 NPPES
Florida MEDICAID 041490500

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