Individual
MELISSA ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, PTA
Contact information
Practice address
2605 BUCKHORN PRESERVE BLVD, VALRICO, FL 33596
(813) 412-0278
Mailing address
2605 BUCKHORN PRESERVE BLVD, VALRICO, FL 33596
(813) 412-0278
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
MA 53136
FL
225200000X
Physical Therapy Assistant
Primary
25408
FL
225700000X
Massage Therapist
53136
FL
Other
Enumeration date
02/16/2012
Last updated
03/01/2022
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