Individual
JOEL DAVID ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1101 MIRANDA LN STE 131, KISSIMMEE, FL 34741-0771
(407) 565-9477
(407) 915-3567
Mailing address
1101 MIRANDA LN STE 131, KISSIMMEE, FL 34741-0771
(407) 565-9477
(407) 915-3567
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11020510
FL
Other
Enumeration date
06/30/2022
Last updated
08/28/2024
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