MEDICARE: CANDY TAMARA ORTIZ JORDAN RBT

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
1	106S00000X	Behavior Technician	RBT-22-231102	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730800616
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CANDY TAMARA ORTIZ JORDAN RBT

Provider Business Mailing Address
First Line	:	132 BELINA DR APT 4
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34104-5459
Country	:	US
Telephone Number	:	239-399-1427
Fax Number	:

Provider Business Practice Location Address
First Line	:	5425 GOLDEN GATE PKWY STE 7
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34116-7524
Country	:	US
Telephone Number	:	239-778-8455
Fax Number	:	239-977-3633

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2022
Last Update Date	:	09/08/2022

Similar Medicare Providers

1184588709 — JANY HERNANDEZ CRUZ
Practice Location Address:

5425 GOLDEN GATE PKWY
NAPLES, FL
34116-7524

Practice Phone: 239-778-8455
Practice Fax: 239-977-3644

1972731453 — GOLDEN GATE PKWY PAIN & INJURY REHAB., INC.
Practice Location Address:

5425 GOLDEN GATE PKWY , SUITE 5
NAPLES, FL
34116-7524

Practice Phone: 239-304-9166
Practice Fax: 239-304-9170

1275803348 — NAPLES INJURY AND REHAB INC.
Practice Location Address:

5425 GOLDEN GATE PKWY STE 5
NAPLES, FL
34116-7524

Practice Phone: 239-234-6152
Practice Fax:

1003481557 — CAMILA ANDREA GAMEZ YOUNG
Practice Location Address:

5425 GOLDEN GATE PKWY STE 7
NAPLES, FL
34116-7524

Practice Phone: 239-778-8455
Practice Fax:

1407586340 — RAPHA HOME HEALTH SERVICES LLC
Practice Location Address:

5425 GOLDEN GATE PKWY STE 1E
NAPLES, FL
34116-7524

Practice Phone: 407-692-1322
Practice Fax:

1003541665 — LAURA TAPIA
Practice Location Address:

5425 GOLDEN GATE PKWY STE 7
NAPLES, FL
34116-7524

Practice Phone: 239-778-8455
Practice Fax:

Directions to “ CANDY TAMARA ORTIZ JORDAN RBT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.