Individual
IDALIZ ORTIZ DE VILLATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 SPRINGVIEW DR, SANFORD, FL 32773-5971
(787) 231-7490
Mailing address
330 SPRINGVIEW DR, SANFORD, FL 32773-5971
(787) 231-7490
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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