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Individual

IMELDA ORTIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
500 NW 165TH STREET RD STE 203, NORTH MIAMI, FL 33168-3316
(954) 639-7345
Mailing address
3460 PINEWALK DR N, MARGATE, FL 33063-9344
(646) 409-3465

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
03/31/2022
Last updated
03/31/2022
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