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Nanette Amanda Ortiz, MD
General Practice Physician in Clermont, Florida
NPI 1487637476

Nanette Amanda Ortiz is a General Practice Physician based in Tampa, FL. Nanette Amanda Ortiz practices in Clermont, FL and has the professional credentials of MD. The NPI Number for Nanette Amanda Ortiz is 1487637476 and holds a License No. ACN777 (Florida).

The current practice location address for Nanette Amanda Ortiz is 200 E Highland Ave Ste 1, Clermont, FL and can be reached out via phone at 352-432-8989.

Location: 200 E Highland Ave Ste 1, Clermont, FL, 33602-5925
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487637476
Provider Name
Nanette Amanda Ortiz
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
200 E Highland Ave Ste 1, Clermont, FL, 33602-5925
Phone Number
352-432-8989
Fax Number
Provider Enumeration Date
11/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ACN777 01 FL MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
200 E Highland Ave Ste 1
City
Clermont
State
Florida
Zip
34711-2582
Phone Number
352-432-8989
Fax Number
person
Provider Business Mailing Address Details
Address
200 E Highland Ave Ste 1
City
Clermont
State
Florida
Zip
34711-2582
Phone Number
352-432-8989
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
ACN777 (Florida)
Definition
Definition to come...
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