Rortvedt, Monica Rae

Rortvedt, Monica Rae is an individual health care provider with primary practice located at 1400 N Us Highway 441 Ste 810 , Lady Lake FL 32159-8987. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Rortvedt, Monica Rae can be contacted via phone (352) 750-2108.

Contact Information

Primary practice address
1400 N Us Highway 441 Ste 810 Lady Lake FL 32159-8987
Phone: (352) 750-2108
Fax: (352) 750-1836
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9109388 Florida

Profile Details

NPI number 1487014478
LBN Legal business name Rortvedt, Monica Rae
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2016
Last updated Jul 7th, 2026 - about 4 months 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 1487014478 NPPES
Florida MEDICAID 130939400
Florida Other 0D4ZE

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