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Individual

ENRIQUE ORTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
11750 SW 40TH ST, MIAMI, FL 33175-3530
(305) 223-3000
Mailing address
11750 SW 40TH ST, MIAMI, FL 33175-3530

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9409782
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
9409782
FL

Other

Enumeration date
12/02/2020
Last updated
02/04/2021
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