Individual
DR. LUIS ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
13904 N DALE MABRY HWY STE 200, TAMPA, FL 33618-2446
(813) 908-2020
Mailing address
1520 W RIVER SHORE WAY, TAMPA, FL 33603-2909
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6542
FL
Other
Enumeration date
06/13/2024
Last updated
10/07/2025
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