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NPI Code Detail

MEDICARE: DR. JESUS ORTIZ-MORALES DC

MEDICARE: DR. JESUS ORTIZ-MORALES DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorCH11523FL

General Provider Information

NPI Number : 1285081943
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JESUS ORTIZ-MORALES DC
Provider Business Mailing Address
First Line : 397 TUSCANY CHASE DR
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32117-5521
Country : US
Telephone Number : 787-402-9014
Fax Number :
Provider Business Practice Location Address
First Line : 877 S ORANGE BLOSSOM TRL
Second Line :
City : APOPKA
State : FL
Zip : 32703-6522
Country : US
Telephone Number : 407-889-3223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2016
Last Update Date : 01/29/2018

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Directions to “ DR. JESUS ORTIZ-MORALES DC” Practice Location

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