Individual
MICHAEL LORENZO ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1114 CHATMAN BLVD, BROOKSVILLE, FL 34601-3104
(352) 796-6701
Mailing address
15141 DADE AVE, DADE CITY, FL 33523-2315
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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