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Individual

MARISARA MORALES ORTIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9685 LAKE NONA VILLAGE PL STE 103, ORLANDO, FL 32827-7321
(407) 557-8160
(407) 557-8159
Mailing address
7261 SHERIDAN ST STE 340, HOLLYWOOD, FL 33024-2726
(954) 561-6222
(954) 990-7650

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
73482
TN
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
ME177678
FL

Other

Enumeration date
06/28/2017
Last updated
01/16/2026
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