Individual
DR. ANGEL LUIS ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 CAPITAL CIR NE, TALLAHASSEE, FL 32301-3558
(850) 878-2173
Mailing address
9227 SHOAL CREEK DR, TALLAHASSEE, FL 32312-4278
(850) 893-4090
(850) 893-4090
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5742
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5742
LIC NUM
PR
Enumeration date
07/03/2006
Last updated
07/08/2007
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