Individual
YEDIDIACH ORTIZ GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 CYPRESS PKWY # 34759, KISSIMMEE, FL 34759-3326
(407) 530-2000
Mailing address
10543 MERE PKWY, ORLANDO, FL 32832-6153
(787) 613-6990
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
19982
PR
207P00000X
Emergency Medicine Physician
Primary
ME164818
FL
208D00000X
General Practice Physician
19982
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2017
Last updated
03/04/2024
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