# FAMILY HEALTH CLINIC USA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376949032
- **Authorized official:** CARLOS A ORTIZ MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (407) 512-6608

## Contact information

- **Practice address:** 323 W OAK ST, SUITE A, KISSIMMEE, FL 34741-4421
- **Practice address phone:** (407) 512-6608
- **Mailing address:** 323 W OAK ST, SUITE A, KISSIMMEE, FL 34741-4421
- **Mailing address phone:** (407) 512-6608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ACN412 | FL | Yes |

## Other

- **Enumeration date:** 11/07/2014
- **Last updated:** 11/07/2014
