Individual
CARLOS OMAR LOPEZ ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1431 SW 1ST AVE, OCALA, FL 34471-6500
(352) 401-1000
Mailing address
5101 SW 60TH STREET RD APT 3608, OCALA, FL 34474-4729
(787) 633-4480
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME149969
FL
Other
Enumeration date
09/02/2016
Last updated
06/24/2021
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