Individual
ZULMARELIS SANTIAGO ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
513 W COLONIAL DR, ORLANDO, FL 32804-6866
(407) 730-7893
Mailing address
4190 GAITHER ST, ORLANDO, FL 32811-5031
(407) 234-9044
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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