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1114758901
EDWIN ORTIZ
ORANGE CITY, FL
NPI
1114758901
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11033832)
Enumeration Date
2024-08-12
Last Update Date
2024-10-29
Business Address
EDWIN ORTIZ
999 S VOLUSIA AVE
ORANGE CITY, FL 32763-6564
Phone number: 386-917-7681
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Mailing Address
EDWIN ORTIZ
5034 GRAND TETON CT
DELAND, FL 32724-0010
Phone number: 407-353-4786
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