Individual
ENRIQUE J ORTIZ GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
602 US HIGHWAY 17 92 N, HAINES CITY, FL 33844-9461
(863) 858-8000
Mailing address
13784 BECKMAN DR., WINDERMERE, FL 34786
(787) 245-1327
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
17458
PR
Other
Enumeration date
04/14/2009
Last updated
05/15/2015
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