Individual
KEVIN ORDAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5555 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2513
(305) 689-5555
Mailing address
5555 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2513
(305) 689-5555
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9119316
FL
Other
Enumeration date
01/16/2023
Last updated
12/18/2024
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