Individual
SUE AURIE ORTIZ VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5768 S SEMORAN BLVD, ORLANDO, FL 32822-4818
(855) 289-1722
Mailing address
5768 S SEMORAN BLVD, ORLANDO, FL 32822-4818
(407) 896-2323
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910854
—
FL
Enumeration date
09/17/2024
Last updated
11/21/2025
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