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General NPI Number Information
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NPI Number | 1881994267
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Entity Type | Individual
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Provider Name | ERICK MITCHELL ORTEGA PEREZ MD
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Gender | Male
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Dates
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Enumeration Date | 11/01/2010
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 14807 E COLONIAL DR STE 112
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City | ORLANDO
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State | FL
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Zip | 32826-5122
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Country | US
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Telephone | 407-250-6742
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 S DOUGLAS RD STE 308
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City | CORAL GABLES
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State | FL
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Zip | 33134-6134
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ACN1238
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License Number State | FL
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