Individual
PRISCILLA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2635 MAGGIORE CIR, KISSIMMEE, FL 34746-3459
(347) 604-2574
Mailing address
2635 MAGGIORE CIR, KISSIMMEE, FL 34746-3459
(347) 604-2574
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CBHCM.105936-P
FL
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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