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Individual

MRS. STEPHANIE MARIE CRUZ ORTIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MMT, MT-BC

Contact information

Practice address
3014 NW 30TH WAY, LAUDERDALE LAKES, FL 33311-8391
(561) 703-1403
Mailing address
3014 NW 30TH WAY, LAUDERDALE LAKES, FL 33311-8391

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
FL

Other

Enumeration date
05/01/2026
Last updated
05/01/2026
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