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1992827000
LESLIE ORTIZ
HAINES CITY, FL
NPI
1992827000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: FL ACN778)
Enumeration Date
2007-04-06
Last Update Date
2023-01-27
Business Address
LESLIE ORTIZ MD
608 INGRAHAM AVE
HAINES CITY, FL 33844-4330
Phone number: 863-422-9562
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Mailing Address
LESLIE ORTIZ MD
PO BOX 4189
DEERFIELD BEACH, FL 33442-4189
Phone number: 954-363-9582
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