Individual
GUSTAVO ANDRES ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-1864
(305) 585-1899
Mailing address
251 GALEN DR, APT 311E, KEY BISCAYNE, FL 33149-2182
(305) 873-3632
(305) 585-1899
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
TRN5459
FL
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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