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Individual

LENA ORTIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
114 VISCAYA AVE, ROYAL PALM BEACH, FL 33411-1004
(614) 209-6538
Mailing address
212 N WARE DR, WEST PALM BEACH, FL 33409-3858

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5160254
FL

Other

Enumeration date
01/14/2022
Last updated
01/14/2022
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