Organization
MICHAEL J TORTORELLA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY STACY (OFFICE MANAGER)
(407) 363-1003
Entity
Organization
Contact information
Practice address
7300 SANDLAKE COMMONS BLVD, SUITE 320, ORLANDO, FL 32819-8050
(407) 363-1003
(407) 351-7732
Mailing address
7300 SANDLAKE COMMONS BLVD, SUITE 320, ORLANDO, FL 32819-8050
(407) 363-1003
(407) 351-7732
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME 45967
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02948
BLUE CROSS BLUE SHIELD
FL
05
—
370028300
—
FL
Enumeration date
02/05/2008
Last updated
01/20/2011
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