Individual
JEFFREY L ORTSTADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11215 METRO PKWY BLDG 3, FORT MYERS, FL 33966-1206
(239) 208-2212
Mailing address
7005 CORTEZ RD W, BRADENTON, FL 34210-2509
(941) 750-0602
(941) 748-5626
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
2024043619
MO
2084N0400X
Neurology Physician
35.151451
OH
2084N0400X
Neurology Physician
G50462
CA
2084N0400X
Neurology Physician
Primary
ME130283
FL
2084N0400X
Neurology Physician
N3965
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G504620
—
CA
05
—
203608901
—
TX
01
—
203608902
CSHCN
TX
Enumeration date
06/29/2006
Last updated
01/03/2025
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