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Individual

DR. JED RYAN SCHORTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
21 COLUMBIA ST, ORLANDO, FL 32806-1133
(321) 841-6060
(321) 841-2422
Mailing address
21 COLUMBIA ST, ORLANDO, FL 32806-1133
(321) 841-6060
(321) 841-2422

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2017-02092
NC
207VG0400X
Gynecology Physician
2017-02092
NC
207VG0400X
Gynecology Physician
Primary
ME148262
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1457544942
NPI ORGANIZATION
NJ
Enumeration date
05/07/2010
Last updated
07/07/2022
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