Ortiz, Rafael Nathan

Ortiz, Rafael Nathan is an sole proprietor health care provider with primary practice located at 315 N Lakemont Ave , Winter Park FL 32792-3205. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ortiz, Rafael Nathan can be contacted via phone (407) 792-5534.

Contact Information

Primary practice address
315 N Lakemont Ave Winter Park FL 32792-3205
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1861748709
LBN Legal business name Ortiz, Rafael Nathan
Credentials Bachelor of Social Work (BSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 30th, 2012
Last updated Jul 30th, 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 1861748709 NPPES
Florida MEDICAID 9999999999

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