Individual
JUSTIN MIGUEL ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
23012 SR 54 E, LUTZ, FL 33549
(813) 536-0129
Mailing address
23012 SR 54 E, LUTZ, FL 33549
(813) 536-0129
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA32291
FL
Other
Enumeration date
08/29/2025
Last updated
08/29/2025
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