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1881158061
ANGEL ORTIZ DE JESUS
ORLANDO, FL
NPI
1881158061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: PR 21189)
Enumeration Date
2019-01-22
Last Update Date
2024-05-09
Business Address
ANGEL ORTIZ DE JESUS MD
708 E COLONIAL DR STE 200
ORLANDO, FL 32803-4652
Phone number: 407-895-9255
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Mailing Address
ANGEL ORTIZ DE JESUS MD
308 W BASS ST
KISSIMMEE, FL 34741-5001
Phone number: 407-483-8801
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