Individual
MR. OSCAR ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP,LP
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-6265
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-6265
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PRO 13
FL
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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