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Individual

JULIO R ORTIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11760 SW 40TH ST, STE 120, MIAMI, FL 33175-3582
(305) 220-2626
(305) 220-2082
Mailing address
11760 SW 40TH ST, STE 120, MIAMI, FL 33175-3582
(305) 220-2626
(305) 220-2082

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME57741
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
052254600
FL
05
052254601
FL
Enumeration date
01/08/2007
Last updated
07/16/2010
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