Individual
MIGUEL ANGEL ORTIZ-BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3480 POLYNESIAN ISLE BLVD, KISSIMMEE, FL 34746-4654
(407) 507-2615
(787) 641-4561
Mailing address
3480 POLYNESIAN ISLE BLVD, KISSIMMEE, FL 34746-4654
(407) 507-2615
(407) 507-2616
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
19616
PR
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME148692
FL
207RP1001X
Pulmonary Disease Physician
ME148692
FL
Other
Enumeration date
03/26/2014
Last updated
07/20/2021
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