Organization
RICARDOOMFS.L.L.C
Active
Other names
TALLAHASSEE ORAL AND MAXILLOFACIAL SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO M. ORTIZ MD, DMD (ORAL AND MAXILLOFACIAL SURGEON)
(787) 556-6039
Entity
Organization
Contact information
Practice address
1300 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5054
(787) 556-6039
Mailing address
1300 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5054
(787) 556-6039
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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