Individual
ILIA ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8542 QUEEN BROOKS CT, TEMPLE TERRACE, FL 33637-4913
(727) 290-8233
Mailing address
8542 QUEEN BROOKS CT, TEMPLE TERRACE, FL 33637-4913
(727) 290-8233
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/19/2019
Last updated
02/05/2020
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