Individual
MARIA M ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ITDS
Contact information
Practice address
107 MOUND ST, LONGWOOD, FL 32750-7108
(407) 690-0571
Mailing address
107 MOUND ST, LONGWOOD, FL 32750-7108
(407) 690-0571
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/08/2015
Last updated
10/30/2025
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