Individual
JESSICA ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 MILLENIA BLVD, ORLANDO, FL 32839-6013
(787) 464-2592
Mailing address
701 PETES LN, DAVENPORT, FL 33837-8762
(787) 464-2592
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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