Individual
DR. FELIPE O ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 MEDICAL PLAZA DR, SUITE 102, LEESBURG, FL 34748-7324
(352) 728-0709
(352) 728-6460
Mailing address
501 MEDICAL PLAZA DR, SUITE 102, LEESBURG, FL 34748-7324
(352) 728-0709
(352) 728-6460
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME0074213
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252861400
—
FL
05
—
253650100
—
FL
01
—
42383
BLUE SHIELD
FL
01
—
K0026
GROUP NUMBER
FL
Enumeration date
08/18/2005
Last updated
03/21/2013
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