Individual
GREGORY L ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2776 ENTERPRISE RD, SUITE 100, ORANGE CITY, FL 32763-8316
(386) 774-1223
(386) 774-4658
Mailing address
2776 ENTERPRISE RD, SUITE 100, ORANGE CITY, FL 32763-8316
(386) 774-1223
(386) 774-4658
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME41521
FL
207RH0003X
Hematology & Oncology Physician
Primary
ME41521
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04489740
—
FL
Enumeration date
05/08/2006
Last updated
12/14/2017
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