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Pedro Ortiz
Medical Physician Assistant in Deltona, Florida
NPI 1629502463

Pedro Ortiz is a Medical Physician Assistant based in Deland, FL and is specialized in Medical. Pedro Ortiz practices in Deltona, FL. The NPI Number for Pedro Ortiz is 1629502463 and holds a License No. 008557 (Florida).

The current practice location address for Pedro Ortiz is 1200 Deltona Blvd Apt 40A, Deltona, FL and can be reached out via phone at 386-202-6025.

Location: 1200 Deltona Blvd Apt 40A, Deltona, FL, 32720-7464
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629502463
Provider Name
Pedro Ortiz
Credential
Provider Entity Type
Individual
Gender
Male
Address
1200 Deltona Blvd Apt 40A, Deltona, FL, 32720-7464
Phone Number
386-202-6025
Fax Number
Provider Enumeration Date
04/19/2017
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA9119021 01 FL MEDICAL LICENSE
205411 01 REGISTRY NUMBER
institution
Provider Business Practice Location Address Details
Address
1200 Deltona Blvd Apt 40A
City
Deltona
State
Florida
Zip
32725-6386
Phone Number
386-202-6025
Fax Number
person
Provider Business Mailing Address Details
Address
1200 Deltona Blvd Apt 40A
City
Deltona
State
Florida
Zip
32725-6386
Phone Number
386-202-6025
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Other
Speciality
-
Taxonomy
247200000X
License No.
PA9119021 (Florida)
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
008557 ()
Definition
Definition to come...
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