Individual
ANEIDA ORTIZ I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
711 SQUIRREL CT, KISSIMMEE, FL 34759-4312
(407) 452-8264
Mailing address
711 SQUIRREL CT, KISSIMMEE, FL 34759-4312
(407) 452-8264
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
O632-000-85-955-0
FL
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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