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NPI Code Detail

MEDICARE: ROSARIO ORTIGAO, LLC

MEDICARE: ROSARIO ORTIGAO, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0850XAdult Mental Health Clinic/Center2329FL

General Provider Information

NPI Number : 1609133016
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROSARIO ORTIGAO, LLC
Provider Business Mailing Address
First Line : 1850 LEE RD STE 313
Second Line :
City : WINTER PARK
State : FL
Zip : 32789-2107
Country : US
Telephone Number : 407-628-1009
Fax Number :
Provider Business Practice Location Address
First Line : 1850 LEE RD STE 313
Second Line :
City : WINTER PARK
State : FL
Zip : 32789-2107
Country : US
Telephone Number : 407-628-1009
Fax Number : 407-628-3224
Authorized Official
Title or Position : MENTAL HEALTH COUNSELOR
Name : ROSARIO C ORTIGAO
Credential : LMHC
Telephone Number : 407-628-1009
Provider Enumeration Date : 04/23/2012
Last Update Date : 04/23/2012

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