Male or Other

Miguel A. Ortiz-diaz PA

Physician Assistant in Hollywood, FL(View on Map)

Full Name

Miguel Angel Ortiz-diaz PA

NPI Number

1780648253

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/13/2006

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA9101223

Contact
Information

Purpose

Mailing
Location

Address

3702 WASHINGTON STREET
3702 WASHINGTON STREET

City

Hollywood
Hollywood

State

FL
FL

Postal Code

33021
33021

Country

US
US

Telephone Number

(954) 272-2225
(954) 272-2225

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/04/2009

Provider Address

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