Organization
PREVENTIVE MEDICAL & DIAGNOSTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMERICO ORTIZ (CEO)
(407) 764-7679
Entity
Organization
Contact information
Practice address
2714 PRESTWICK LN, KISSIMMEE, FL 34744-8527
(407) 764-7679
Mailing address
5008 LONDON CREEK PL, KISSIMMEE, FL 34758-2286
(407) 764-7679
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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