Individual
DESIREE ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13067 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0926
(813) 779-6303
(786) 868-0012
Mailing address
119 OAKFIELD DR, BRANDON, FL 33511-5779
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME167136
FL
208M00000X
Hospitalist Physician
ME167136
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2021
Last updated
12/03/2024
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