Individual
LAURA ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2151 SW IMPORT DR, PORT ST LUCIE, FL 34953-2123
(917) 414-6797
Mailing address
2151 SW IMPORT DR, PORT ST LUCIE, FL 34953-2123
(917) 414-6797
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800137625
—
FL
Enumeration date
03/27/2019
Last updated
03/27/2019
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