Individual
HECTOR LUIS ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.A.P
Contact information
Practice address
8254 40TH AVE N, ST PETERSBURG, FL 33709-3933
(727) 644-4609
Mailing address
8254 40TH AVE N, ST PETERSBURG, FL 33709-3933
(727) 644-4609
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3054
FL
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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