Individual
NANETTE AMANDA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 E HIGHLAND AVE STE 1, CLERMONT, FL 34711-2582
(352) 432-8989
Mailing address
601 S HARBOUR ISLAND BLVD STE 200, TAMPA, FL 33602-5925
(727) 322-3439
(800) 928-7449
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN777
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ACN777
MEDICAL LICENSE
FL
Enumeration date
11/22/2005
Last updated
08/10/2022
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