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Individual

MR. CARLOS A ORTIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.S.A.

Contact information

Practice address
4300 ALTON RD, MIAMI BEACH, FL 33140-2800
(305) 674-2720
Mailing address
8575 NW 193 LN, MIAMI, FL 33015-5321
(786) 566-2174
(305) 816-0021

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
07-238
FL

Other

Enumeration date
10/11/2007
Last updated
08/14/2008
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