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Individual

DR. ANGEL MANUEL CORTES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7714 E COLONIAL DR, ORLANDO, FL 32807-8422
(407) 745-4581
(407) 745-4583
Mailing address
6675 WESTWOOD BLVD STE 475, ORLANDO, FL 32821-6027
(407) 845-0330
(888) 972-1752

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
14344
PR
208D00000X
General Practice Physician
Primary
ACN473
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008388700
FL
01
21057
TRIPLE S
PR
01
500109SE
MMM
PR
01
HD373Z
MEDICARE PTAN
FL
Enumeration date
06/07/2006
Last updated
09/14/2018
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