Individual
CONNIE ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1296 W BROAD ST, GROVELAND, FL 34736-2012
(407) 905-8998
(407) 905-8998
Mailing address
110 S WOODLAND ST, WINTER GARDEN, FL 34787-3546
(407) 905-8998
(407) 905-8998
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11016327
FL
Other
Enumeration date
10/28/2021
Last updated
04/16/2025
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