Individual
MR. DANNY ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, PA-C
Contact information
Practice address
131 S PEBBLE BEACH BLVD, SUN CITY CENTER, FL 33573-5791
(813) 535-6441
(813) 605-6149
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 532-1355
(813) 635-2613
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9113366
FL
363AM0700X
Medical Physician Assistant
MP000580
NJ
363AM0700X
Medical Physician Assistant
Primary
PA9113366
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107868600
—
FL
Enumeration date
05/21/2007
Last updated
04/12/2023
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