Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0201X | Pediatric Allergist | OS14603 | FL |
NPI | 1598185480 |
---|---|
Provider Name | Camile Ortega |
First Address | Miami Lakes, FL 33014-6044 |
Second Address | Miami Lakes, FL 33014-6044 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2014 |
Last Update Date | 24/10/2019 |