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Individual

JOSE AGUSTIN ORTEGA III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3450 LANTANA RD, STE100, LAKE WORTH, FL 33462-1304
(561) 965-1864
(561) 967-5005
Mailing address
3450 LANTANA RD, STE100, LAKE WORTH, FL 33462-1304
(561) 965-1864
(561) 967-5005

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME 100365
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000065900
FL
Enumeration date
07/15/2007
Last updated
01/08/2015
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