Active NPI
Francisco E Cortes, PA
- Physician Assistant
- Davenport, FL
National Provider Identifier
1215083258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9100779
- Practice address
- 111 Webb Dr
Davenport, FL 33837-3962 - Phone
- (873) 421-9447
- Fax
- (863) 421-1806
- NPI assigned
- Jan 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9100779 | FL | Primary |
Addresses
Primary practice location
111 Webb Dr
Davenport, FL 33837-3962
Mailing address
6675 Westwood Blvd Ste 475
Orlando, FL 32821-6027
Phone (407) 845-0330
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003783200 | Medicaid | FL | |
| PA9100779 | Other | FL | PA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Home Alliance LLC | Past | Accepting new patients | |
| Medical Home Alliance LLC | Past | Accepting new patients | |
| Medical Home Alliance LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Non-Pharmacy Dispensing Site
- Winter Haven, FL
- NPI 1033648233
-
- Non-Pharmacy Dispensing Site
- Davenport, FL
- NPI 1700315991
-
- Internal Medicine Physician
- Davenport, FL
- NPI 1801561238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1215083258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6675 WESTWOOD BLVD STE 475",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328216027",
"telephone_number": "407-845-0330",
"fax_number": "888-972-1752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 WEBB DR",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338373962",
"telephone_number": "873-421-9447",
"fax_number": "863-421-1806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORTES",
"first_name": "FRANCISCO",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9100779",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003783200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LICENSE",
"identifier": "PA9100779",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.