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NPI Code Detail

MEDICARE: JASMINE ORTIZ

MEDICARE:   JASMINE  ORTIZ
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
1106S00000XBehavior TechnicianRBT-25-413390FL

General Provider Information

NPI Number : 1306656269
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE ORTIZ
Provider Business Mailing Address
First Line : 2910 LINCOLN ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33020-3836
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2910 LINCOLN ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33020-3836
Country : US
Telephone Number : 754-736-6190
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2025
Last Update Date : 02/21/2025

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Directions to “ JASMINE ORTIZ ” Practice Location

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