Individual
MRS. EDITH F ORTIZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1201 NW 16TH ST, MIAMI, FL 33125-1624
(305) 575-7000
(305) 575-3418
Mailing address
19358 SW 304TH ST, HOMESTEAD, FL 33030-3657
(305) 246-3984
(305) 575-3418
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2807672
FL
Other
Enumeration date
05/10/2006
Last updated
07/08/2007
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