Individual
ANDRES VIDOVICH-ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19105 N US HIGHWAY 41, SUITE 300, LUTZ, FL 33549-4206
(813) 866-1959
(813) 866-1957
Mailing address
PO BOX 2667, LUTZ, FL 33548-2667
(813) 866-1959
(813) 866-1957
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2009005331
MO
208600000X
Surgery Physician
Primary
ME 102230
FL
Other
Enumeration date
05/27/2009
Last updated
06/17/2014
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