Individual
DR. NEAL R MORTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
450 W CENTRAL PKWY STE 1000, ALTAMONTE SPRINGS, FL 32714-2433
(321) 397-2699
(407) 926-0500
Mailing address
450 W CENTRAL PKWY STE 1000, ALTAMONTE SPRINGS, FL 32714-2433
(321) 397-2699
(407) 926-0500
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO3214
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340549400
—
FL
01
—
65910
BLUE CROSS BLUE SHIELD
FL
Enumeration date
11/28/2005
Last updated
09/27/2021
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