MEDICARE: DR. STEPHANIE ORTEGA AUD

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	231H00000X	Audiologist	AY2774	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	:	1962274787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHANIE ORTEGA AUD

Provider Business Mailing Address
First Line	:	265 E ROLLINS ST STE 4700
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-5502
Country	:	US
Telephone Number	:	407-845-8352
Fax Number	:	407-845-8353

Provider Business Practice Location Address
First Line	:	265 E ROLLINS ST STE 4700
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-5502
Country	:	US
Telephone Number	:	407-845-8352
Fax Number	:	407-845-8353

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

Provider Enumeration Date	:	10/25/2023
Last Update Date	:	03/09/2026

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