Individual
JULISSA ORTEGA-BOSQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10000 BAY PINES BLVD, ST PETERSBURG, FL 33744-4228
(727) 398-6661
Mailing address
10000 BAY PINES BLVD, ST PETERSBURG, FL 33744
(727) 398-6661
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME118498
FL
207RN0300X
Nephrology Physician
Primary
ME118498
FL
Other
Enumeration date
05/20/2009
Last updated
07/31/2023
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