Individual
EDWIN MEJIA ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
60 W GORE ST, ORLANDO, FL 32806-1141
(321) 841-3303
(321) 841-3305
Mailing address
60 W GORE ST, ORLANDO, FL 32806-1141
(321) 841-3303
(321) 841-3305
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
ARNP9347812
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN9347812
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103335700
—
FL
Enumeration date
07/23/2018
Last updated
10/28/2019
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