Individual
MR. VICTOR M. ORTEGA-JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 254-4152
(386) 254-4315
Mailing address
PO BOX 732901, DALLAS, TX 75373-2901
(386) 226-4590
(386) 226-3371
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME0033983
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME33983
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041490500
—
FL
Enumeration date
10/17/2006
Last updated
10/14/2015
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