MEDICARE: MR. ARCADIO ORTIZ IV

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	363A00000X	Physician Assistant	9120487	FL

General Provider Information

NPI Number	:	1902699952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ARCADIO ORTIZ IV

Provider Business Mailing Address
First Line	:	108 NW 135TH WAY UNIT 106
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33325-7702
Country	:	US
Telephone Number	:	954-684-7300
Fax Number	:

Provider Business Practice Location Address
First Line	:	108 NW 135TH WAY UNIT 106
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33325-7702
Country	:	US
Telephone Number	:	954-684-7300
Fax Number	:

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

Provider Enumeration Date	:	05/23/2025
Last Update Date	:	02/08/2026

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Directions to “ MR. ARCADIO ORTIZ IV ” Practice Location

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