Flavia Lorena Ortiz, | |
5005 Port St John Pkwy, Port St John, FL 32927-4305 | |
(321) 633-8620 | |
Not Available |
Full Name | Flavia Lorena Ortiz |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 5005 Port St John Pkwy, Port St John, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568114395 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN11017588 (Florida) | Primary |
Entity Name | Medfast Urgent Care Centers Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285735605 PECOS PAC ID: 1052418837 Enrollment ID: O20070514000442 |
Entity Name | Doctors At Home Tri County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497168173 PECOS PAC ID: 2567773849 Enrollment ID: O20150615000303 |
Mailing Address | Practice Location Address |
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Flavia Lorena Ortiz, 603 Anderson Dr, Deltona, FL 32725-8165 Ph: (407) 731-1094 | Flavia Lorena Ortiz, 5005 Port St John Pkwy, Port St John, FL 32927-4305 Ph: (321) 633-8620 |
Katherine Penny Leonard, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7227 N Us Highway 1 Ste 100, Port St John, FL 32927 Phone: 321-637-1595 | |
Keysha Brown, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5005 Port St John Pkwy, Port St John, FL 32927 Phone: 321-633-8620 | |
Mrs. Taniqua Denise Andrews, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3740 Curtis Blvd Ste 108, Port St John, FL 32927 Phone: 321-633-5500 Fax: 321-633-5566 | |
Guilaine Jean-gilles, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6170 Stillwater Ave, Port St John, FL 32927 Phone: 321-632-2486 |