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Organization

HERIBERTO M. ORTIZ, PSY.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HERIBERTO M ORTIZ PSY.D. (PRESIDENT)
(305) 274-2403
Entity
Organization

Contact information

Practice address
7700 N KENDALL DR, SUITE 415, MIAMI, FL 33156-7564
(305) 274-2403
(305) 274-2433
Mailing address
7700 N KENDALL DR, SUITE 415, MIAMI, FL 33156-7564
(305) 274-2403
(305) 274-2433

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY6187
FL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
549
FL

Other

Enumeration date
06/10/2013
Last updated
06/10/2013
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