Individual
MARILYN ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 MIDFLORIDA DR STE 1, LAKELAND, FL 33813-4921
(407) 791-7740
Mailing address
7 NORTH BLVD E, DAVENPORT, FL 33837-4105
(407) 791-7740
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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