Individual
ORTAL WINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1333 S UNIVERSITY DR STE 206, PLANTATION, FL 33324-4001
(954) 595-2666
Mailing address
1333 S UNIVERSITY DR STE 206, PLANTATION, FL 33324-4001
(954) 595-2666
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT3648
FL
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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