Individual
JOHIS ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.R.N.P.
Contact information
Practice address
6200 SW 73RD ST, SOUTH MIAMI, FL 33143-4679
(786) 527-4122
Mailing address
5030 BRUNSON DR, CORAL GABLES, FL 33146-2412
(305) 284-1269
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9190646
FL
363LA2100X
Acute Care Nurse Practitioner
9190646
FL
363LF0000X
Family Nurse Practitioner
9190646
FL
Other
Enumeration date
12/01/2006
Last updated
01/16/2017
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