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1508598178
JOEL DAVID ORTEGA
KISSIMMEE, FL
NPI
1508598178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL 11020510)
Enumeration Date
2022-06-30
Last Update Date
2024-08-28
Business Address
JOEL DAVID ORTEGA
1101 MIRANDA LN STE 131
KISSIMMEE, FL 34741-0771
Phone number: 407-565-9477
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Mailing Address
JOEL DAVID ORTEGA
1101 MIRANDA LN STE 131
KISSIMMEE, FL 34741-0771
Phone number: 407-565-9477
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