Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2019-01389 | NC |
N | 111NI0900X | Internist | 2019-01389 | NC |
N | 207RC0000X | Internist - Cardiovascular Disease | 2019-01389 | NC |
Y | 207RI0011X | Interventional Cardiology | ME150450 | FL |
NPI | 1013350636 |
---|---|
Provider Name | Fernando Ortiz |
First Address | Gainesville, FL 32605-4687 |
Second Address | Gainesville, FL 32605-4687 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2013 |
Last Update Date | 25/08/2021 |