Individual
MR. EDERT B. ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
824 S FEDERAL HWY, HOLLYWOOD, FL 33020-5438
(954) 921-5553
(954) 921-5582
Mailing address
824 S FEDERAL HWY, HOLLYWOOD, FL 33020-5438
(954) 921-5553
(954) 921-5582
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0002710
FL
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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