Healthcare Provider Details

I. General information

NPI: 1407771348
Provider Name (Legal Business Name): TATIANA ORTEGA HAYES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 WATERMAN WAY
TAVARES FL
32778-5266
US

IV. Provider business mailing address

3520 SEBASTIAN BRIDGE LN FL 34773
HARMONY FL
34773-6065
US

V. Phone/Fax

Practice location:
  • Phone: 352-253-3333
  • Fax:
Mailing address:
  • Phone: 407-687-2897
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: