Individual
EMILY ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 PGA TOUR BLVD, PONTE VEDRA BEACH, FL 32082-3036
(904) 386-2675
Mailing address
4495 ROOSEVELT BLVD, JACKSONVILLE, FL 32210-3375
(904) 384-4415
(904) 384-4212
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA59780
FL
Other
Enumeration date
06/28/2016
Last updated
01/27/2020
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