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Individual
TARA MELISSA ORTIZ
Active
Individual
TARA MELISSA ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
9234896
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
92501
FL
Other
Enumeration date
04/16/2013
Last updated
09/14/2026
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