Individual
DR. MARCOS R ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
ME84738
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28054
BC/BS OF FL ID NUMBER
FL
01
—
59062530
BC/BS AL ID NUMBER
FL
01
—
ME 84738
LICENSE NUMBER
FL
Enumeration date
01/05/2006
Last updated
08/30/2019
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