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1194043273
MYDDIAM ORTIZ
TAMPA, FL
NPI
1194043273
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
(Licence: FL PTA11430)
Enumeration Date
2010-05-13
Last Update Date
2010-05-13
Business Address
Ms. MYDDIAM ORTIZ PTA
3651 W WATERS AVE
TAMPA, FL 33614-2783
Phone number: 813-932-5119
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Mailing Address
Ms. MYDDIAM ORTIZ PTA
7517 CONNECTICUT DR
TAMPA, FL 33619-2033
Phone number: 813-770-7553
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