Individual
ISMAEL ORTIZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2605 BUCKHORN PRESERVE BLVD, VALRICO, FL 33596-6511
(727) 768-2212
Mailing address
2605 BUCKHORN PRESERVE BLVD, VALRICO, FL 33596-6511
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
25436
FL
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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