Individual
DAINELIS ORTEGA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2562 SE MARSEILLE ST, PORT SAINT LUCIE, FL 34952-7283
(786) 305-0192
Mailing address
2562 SE MARSEILLE ST, PORT SAINT LUCIE, FL 34952-7283
(786) 305-0192
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
11041756
FL
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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