Healthcare Provider Details

I. General information

NPI: 1356261820
Provider Name (Legal Business Name): JENNIFER ORTEGA DMD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 MORAY LN STE A
WINTER PARK FL
32792-4122
US

IV. Provider business mailing address

201 MORAY LN STE A
WINTER PARK FL
32792-4122
US

V. Phone/Fax

Practice location:
  • Phone: 407-645-3636
  • Fax:
Mailing address:
  • Phone: 407-645-3636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. JENNIFER L ORTEGA
Title or Position: OWNER
Credential: DMD
Phone: 305-609-4027