Individual
GONZALO ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
741 DUNLAWTON AVE, PORT ORANGE, FL 32127-9226
(800) 255-7188
(407) 423-9040
Mailing address
3824 OAKWATER CIR, ORLANDO, FL 32806-6263
(407) 893-8200
(407) 893-8210
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
ME148138
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
ME148138
FL
Other
Enumeration date
04/06/2017
Last updated
09/07/2025
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