Individual
LUZ ELENIA GOYCO ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 MEMORIAL MEDICAL PKWY, DAYTONA BEACH, FL 32117-5167
(407) 975-0410
(407) 975-0407
Mailing address
5255 OFFICE PARK BLVD STE 110, BRADENTON, FL 34203
(941) 755-7000
(941) 755-7088
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME156859
FL
Other
Enumeration date
03/26/2019
Last updated
10/23/2024
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