Individual
FERNANDO LUIS ORTIZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2480 LLEWELLYN AVE, FT MEADE, MD 20755-5800
(301) 677-8270
(301) 677-8176
Mailing address
2480 LLEWELLYN AVE, FT MEADE, MD 20755-5800
(301) 677-8270
(301) 677-8176
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101052341
VA
Other
Enumeration date
12/22/2005
Last updated
07/08/2007
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