Individual
STEPHANIE ORTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3200 3RD ST S STE 200, JACKSONVILLE BEACH, FL 32250
(904) 249-6110
(904) 249-6119
Mailing address
3200 3RD ST S STE 200, JACKSONVILLE BEACH, FL 32250-6097
(904) 249-6110
(904) 249-6119
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME117974
FL
Other
Enumeration date
05/02/2012
Last updated
08/03/2018
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