Individual
DR. IVONNE LUISA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14450 SW 163RD ST, MIAMI, FL 33177-1718
(786) 339-5687
Mailing address
14450 SW 163RD ST, MIAMI, FL 33177-1718
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4644
FL
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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