Individual
MR. BERNARDO ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
17301 SW 86TH AVE, PALMETTO BAY, FL 33157-4672
(786) 423-3365
Mailing address
17301 SW 86TH AVE, PALMETTO BAY, FL 33157-4672
(786) 423-3365
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9101756
FL
Other
Enumeration date
10/21/2009
Last updated
02/11/2010
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