Organization
TEODORO K. ORTEGA, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TEODORO K ORTEGA M.D. (PRESIDENT)
(850) 477-4074
Entity
Organization
Contact information
Practice address
5080 BAYOU BLVD, PENSACOLA, FL 32503-2522
(850) 477-4074
(850) 476-9234
Mailing address
5080 BAYOU BLVD, PENSACOLA, FL 32503-2522
(850) 477-4074
(850) 476-9234
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
01/05/2006
Last updated
03/05/2015
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