Individual
IAN ALEXANDER ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9975 TAVISTOCK LAKES BLVD STE 220, ORLANDO, FL 32827-7665
(844) 407-4070
(321) 248-4035
Mailing address
833 CHESTNUT ST STE 520, PHILADELPHIA, PA 19107-4430
(484) 214-6604
(267) 479-1321
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
9114096
FL
363A00000X
Physician Assistant
PA14600
TX
363A00000X
Physician Assistant
Primary
PA9114096
FL
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
PA9114096
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/22/2020
Last updated
11/25/2025
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