Individual
DR. MICHAEL SCOTT PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 PINELLAS ST, CLEARWATER, FL 33756-3804
(727) 462-7000
Mailing address
PO BOX 917368, ORLANDO, FL 32891-0001
(727) 441-3711
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD00049340
WA
2085R0202X
Diagnostic Radiology Physician
Primary
ME93865
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001026200
—
FL
01
—
1454D
BCBS
FL
01
—
P00788707
RR MEDICARE
FL
Enumeration date
06/06/2008
Last updated
12/02/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us