Individual
MRS. ABIGAIL ORTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3010 E 138TH AVE, TAMPA, FL 33613-3904
(813) 618-9179
Mailing address
17833 EAGLE LN, LUTZ, FL 33558-8441
(813) 618-9179
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11018949
FL
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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