Individual
GLORIA M REYES- ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
225 W HIGHWAY 434, SUITE 203, LONGWOOD, FL 32750-4980
(407) 459-4360
(321) 316-4714
Mailing address
7301 STONEROCK CIR, SUITE 2, ORLANDO, FL 32819-8004
(407) 351-1002
(407) 351-1119
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 9104944
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA 9104944
PA-C LICENSE
FL
Enumeration date
05/04/2009
Last updated
11/03/2015
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