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Individual

DR. LUIS ARIEL ORTIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3941 TAMIAMI TRL UNIT 3175, PUNTA GORDA, FL 33950-7925
(941) 564-7160
(844) 388-6186
Mailing address
601 S HARBOUR ISLAND BLVD STE 200, TAMPA, FL 33602-5925
(800) 480-5243
(800) 928-7449

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
13942
PR
208D00000X
General Practice Physician
Primary
ACN563
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13942
STATE MEDICAL LICENSE
PR
01
14108-5
ASSMCA LICENSE
PR
01
ACN 563
FLORIDA TEMPORARY ACN LICENSE
FL
Enumeration date
07/10/2006
Last updated
11/08/2024
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