Dr Luis Ariel Ortiz, MD | |
3941 Tamiami Trl Unit 3175, Punta Gorda, FL 33950-7925 | |
(941) 564-7160 | |
(844) 388-6186 |
Full Name | Dr Luis Ariel Ortiz |
---|---|
Gender | Male |
Speciality | General Practice |
Experience | 30 Years |
Location | 3941 Tamiami Trl Unit 3175, Punta Gorda, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710911243 | NPI | - | NPPES |
ACN 563 | Other | FL | FLORIDA TEMPORARY ACN LICENSE |
13942 | Other | PR | STATE MEDICAL LICENSE |
14108-5 | Other | PR | ASSMCA LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 13942 (Puerto Rico) | Secondary |
208D00000X | General Practice | ACN563 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Health Holdings Company Llc | 8224323050 | 61 |
Entity Name | Lowell F. Clark Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629278882 PECOS PAC ID: 7416918370 Enrollment ID: O20041023000143 |
Entity Name | Columbia Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477805489 PECOS PAC ID: 8729231501 Enrollment ID: O20130102000375 |
Entity Name | Health Holdings Company Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336583707 PECOS PAC ID: 8224323050 Enrollment ID: O20160818001144 |
Mailing Address | Practice Location Address |
---|---|
Dr Luis Ariel Ortiz, MD 601 S Harbour Island Blvd Ste 200, Tampa, FL 33602-5925 Ph: (800) 480-5243 | Dr Luis Ariel Ortiz, MD 3941 Tamiami Trl Unit 3175, Punta Gorda, FL 33950-7925 Ph: (941) 564-7160 |
Kiersta Borrego, DO General Practice Medicare: Medicare Enrolled Practice Location: 315 E Olympia Ave Unit 111, Punta Gorda, FL 33950 Phone: 941-639-1640 Fax: 941-637-9808 |