Individual
MR. HECTOR LUIS ORTIZ II
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
5959 FORT CAROLINE RD, APT 3104, JACKSONVILLE, FL 32277-1884
(904) 270-6293
Mailing address
5959 FORT CAROLINE RD, APT 3104, JACKSONVILLE, FL 32277
(904) 270-6293
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/09/2006
Last updated
07/08/2007
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