Individual
EVELYN C ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4808 NEW BROAD ST, ORLANDO, FL 32814-6628
(407) 897-1120
(407) 898-0651
Mailing address
4808 NEW BROAD ST, ORLANDO, FL 32814-6628
(407) 897-1120
(407) 898-0651
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN19718
FL
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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