Individual
LAURA DIAZ DE ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10125 W COLONIAL DR STE 205, OCOEE, FL 34761-4200
(407) 578-1241
(407) 578-1242
Mailing address
10125 W COLONIAL DR STE 205, OCOEE, FL 34761-4200
(407) 578-1241
(407) 578-1242
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME147279
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108126000
—
FL
Enumeration date
08/07/2015
Last updated
07/20/2022
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