Individual
MARVIN ORTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5201 RAYMOND ST, ORLANDO, FL 32803-8208
(407) 629-1599
Mailing address
5201 RAYMOND ST, ORLANDO, FL 32803-8208
(407) 629-1599
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
368516-1205
UT
Other
Enumeration date
07/11/2006
Last updated
09/20/2010
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