Individual
DR. EDGARDO ONEILL ORTIZ-MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 S SEMORAN BLVD, ORLANDO, FL 32807-2919
(407) 587-7552
(833) 450-5422
Mailing address
425 W COLONIAL DR STE 303, ORLANDO, FL 32804-6863
(210) 630-2207
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
24170
PR
208D00000X
General Practice Physician
Primary
ACN1688
FL
390200000X
Student in an Organized Health Care Education/Training Program
16829-1
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125251000
—
FL
Enumeration date
03/11/2021
Last updated
03/18/2026
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