NPI 1003142381

Bernardo Ortiz, PAC

Practitioner Medical Physician Assistant Palmetto Bay, FL

Practice location

Address: 17301 SW 86th Ave, Palmetto Bay, FL 33157-4672
Phone: (786) 423-3365

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA9101756 (FL)

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Registry record

NPI: 1003142381
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Oct 2009
Record last updated: 11 Feb 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.