Individual
VENEZLA ELISA ORTIZ MOLINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 NW NORTH RIVER DR APT 2108, MIAMI, FL 33125-2694
(786) 836-7523
Mailing address
1500 NW NORTH RIVER DR APT 2108, MIAMI, FL 33125-2694
(786) 836-7523
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
23-492
FL
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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