Individual
MICHAEL J TORTORELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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
ME45967
FL
207V00000X
Obstetrics & Gynecology Physician
Primary
ME45967
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02948
BLUE CROSS BLUE SHEILD
FL
05
—
370028300
—
FL
Enumeration date
07/26/2006
Last updated
05/15/2019
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