Individual
ANGEL ORTIZ DE JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
708 E COLONIAL DR STE 200, ORLANDO, FL 32803-4652
(407) 895-9255
Mailing address
308 W BASS ST, KISSIMMEE, FL 34741-5001
(407) 483-8801
(407) 483-1298
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
21189
PR
Other
Enumeration date
01/22/2019
Last updated
05/09/2024
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