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General NPI Number Information
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NPI Number | 1528246220
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Entity Type | Organization
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Legal Business Name | MICHAEL J TORTORELLA MD PA
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Dates
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Enumeration Date | 02/05/2008
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Last Update Date | 01/20/2011
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Provider Practice Location Address
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Address Line | 7300 SANDLAKE COMMONS BLVD SUITE 320
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City | ORLANDO
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State | FL
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Zip | 32819-8050
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Country | US
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Telephone | 407-363-1003
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Fax | 407-351-7732
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Provider Business Mailing Address
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Address Line | 7300 SANDLAKE COMMONS BLVD SUITE 320
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City | ORLANDO
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State | FL
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Zip | 32819-8050
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Country | US
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Telephone | 407-363-1003
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Fax | 407-351-7732
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | AMY STACY
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Credential |
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Telephone | 407-363-1003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME 45967
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License Number State | FL
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