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Individual

NYRMA NOEMI ORTIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2900 W PROSPECT RD, TAMARAC, FL 33309-2519
(954) 731-5100
(954) 735-6624
Mailing address
4700 N STATE ROAD 7 STE 201, LAUDERDALE LAKES, FL 33319-5804
(954) 777-1617
(954) 495-3857

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
ME0072074
FL
2084P0800X
Psychiatry Physician
Primary
ME0072074
FL
2084P0804X
Child & Adolescent Psychiatry Physician
ME0072074
FL

Other

Enumeration date
03/14/2012
Last updated
03/14/2012
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