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Jeanine Ann Cortijo

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

12280 Lake Underhill Rd, Orlando, FL 32825-5009

PECOS Enrollment

This provider is enrolled in PECOS as JEANINE CORTIJO.

Based on the most recent information from CMS, provider Jeanine Ann Cortijo is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 11:51 AM.

Profile Details

Provider ID
1275837775
Provider Type
Individual
Full Name
Cortijo, Jeanine Ann
Title
Mrs.
Credential
FNP

Gender
Female
Sole Proprietor
No
Enumeration Date
12/27/2010
Last Updated
3/11/2015

Contact Information

Practice Location

12280 Lake Underhill Rd, Orlando, FL 32825-5009

1866389272

Unlisted Fax

Mailing Location

339 S Deerwood Ave, Orlando, FL 32825-3763

(407) 493-3370

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License ARNP 3193082 Florida

Jeanine Ann Cortijo

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Fan, Yun

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Pedroso Marquez, Tamara