Individual
DR. MAGDA LUISA ORSINI-ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 COMMERCIAL DR, KEYSTONE HEIGHTS, FL 32656-6802
(352) 473-6595
(352) 473-6597
Mailing address
1302 RIVER ST, PALATKA, FL 32177-5042
(386) 328-0108
(386) 325-1086
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15509
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110776100
—
FL
Enumeration date
03/08/2007
Last updated
07/01/2021
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