Individual
DR. ADIS ORTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D., LCSW
Contact information
Practice address
2525 PONCE DE LEON BLVD FL 3, CORAL GABLES, FL 33134-6037
(305) 801-9219
Mailing address
9314 SW 173RD TER, PALMETTO BAY, FL 33157-5724
(305) 801-9219
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW10917
FL
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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