Individual
NICHOLUS CALVIN ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
505 SWEET WOOD WAY, WELLINGTON, FL 33414-4973
(813) 401-6351
Mailing address
505 SWEET WOOD WAY, WELLINGTON, FL 33414-4973
(813) 401-6351
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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