# RICARDOOMFS.L.L.C

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TALLAHASSEE ORAL AND MAXILLOFACIAL SURGERY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619477668
- **Authorized official:** DR. RICARDO M. ORTIZ MD, DMD (ORAL AND MAXILLOFACIAL SURGEON)
- **Authorized official phone:** (787) 556-6039

## Contact information

- **Practice address:** 1300 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5054
- **Practice address phone:** (787) 556-6039
- **Mailing address:** 1300 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5054
- **Mailing address phone:** (787) 556-6039

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 02/16/2018
- **Last updated:** 02/16/2018