Individual
LESLIE ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
608 INGRAHAM AVE, HAINES CITY, FL 33844-4330
(863) 422-9562
(863) 421-3246
Mailing address
PO BOX 4189, DEERFIELD BEACH, FL 33442-4189
(954) 363-9582
(954) 363-9663
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN778
FL
Other
Enumeration date
04/06/2007
Last updated
01/27/2023
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