Individual
DR. JOHN JEFFREY CORTINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-4225
(321) 434-4247
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
OS13998
FL
207RP1001X
Pulmonary Disease Physician
0102206432
VA
207RP1001X
Pulmonary Disease Physician
03675
KY
207RP1001X
Pulmonary Disease Physician
0S008622L
PA
207RP1001X
Pulmonary Disease Physician
200800053
NC
207RP1001X
Pulmonary Disease Physician
63410
GA
207RP1001X
Pulmonary Disease Physician
DO2865
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016237640014
—
PA
01
—
00662229
BLUE SHIELD
PA
01
—
01960
GROUP BCBS
NC
01
—
0326
GROUP MEDICARE NUMBER
NC
05
—
110487900
—
FL
01
—
1467405431
GROUP NPI
NC
01
—
148V3
BCBS
NC
01
—
251424
UPMC
PA
01
—
560989277
TAX ID
NC
05
—
5908296
—
NC
01
—
610283400
BLACK LUNG
—
01
—
8901960
GROUP MEDICAID
NC
01
—
94946
GEISINGER
PA
01
—
P00233040
METRAHEALTH RAILROAD MEDI
—
01
—
T3367
MEDICARE HF
FL
Enumeration date
08/30/2006
Last updated
12/03/2024
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