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Individual

ALLEGRA ORTIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
12008 PEPPERDINE PL, ORLANDO, FL 32826-3655
(813) 767-2600
Mailing address
12008 PEPPERDINE PL, ORLANDO, FL 32826-3655

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
02/25/2015
Last updated
02/25/2015
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