MEDICARE: EDWIN ORDUY

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		FL

General Provider Information

NPI Number	:	1902756331
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWIN ORDUY

Provider Business Mailing Address
First Line	:	1211 S DIXIE HWY W APT 307
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33060-8857
Country	:	US
Telephone Number	:	954-868-8515
Fax Number	:

Provider Business Practice Location Address
First Line	:	4121 NW 5TH ST STE 216
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33317-2120
Country	:	US
Telephone Number	:	754-779-0656
Fax Number	:

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

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/16/2026

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Directions to “ EDWIN ORDUY ” Practice Location

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