Individual
ORTEGA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
517 W 60TH ST, JACKSONVILLE, FL 32208-4510
(904) 300-3895
Mailing address
517 W 60TH ST, JACKSONVILLE, FL 32208-4510
(904) 300-3895
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
182359
FL
Other
Enumeration date
11/22/2025
Last updated
11/22/2025
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