Individual
ORLANDO ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SFIDC
Contact information
Practice address
534 HALSTEAD DR, DAVENPORT, FL 33897-5926
(850) 449-9713
Mailing address
534 HALSTEAD DR, DAVENPORT, FL 33897-5926
(850) 449-9713
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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