Ortega Orthodontics, Pllc

NPI 1265845457 - Clinic/Center - 261QD0000X

NPI Details
NPI 1265845457
Enumeration Date 06/05/2014
Last Updated 06/05/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name WILLIAM VAUGHN WILLIAM
Position OWNER
Phone (904) 388-4600
Fax (904) 389-9499
Practice Location
5435 ORTEGA BLVD
SUITE #2
JACKSONVILLE FL, 32210-8435, US
Phone (904) 388-4600
Fax (904) 389-9499
Business Location
5435 ORTEGA BLVD
SUITE #2
JACKSONVILLE FL, 32210-8435, US
Phone (904) 388-4600
Fax (904) 389-9499
Toxanomy
Taxonomy Code 261QD0000X
License State Florida
License Number DN18644
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According to our database, Ortega Orthodontics, Pllc NPI is 1265845457, taxonomy code is 261QD0000X and license number is DN18644, license state is located at Florida. Ortega Orthodontics, Pllc physically located at 5435 Ortega Blvd, Jacksonville FL, 32210-8435. NPI Number 1033115704 has the healthcare provider type.

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1265845457 NPI number is provided on an as is basis without warranty of any kind. 1265845457 is maintained by the National Plan & Provider Enumeration System. The contents of Ortega Orthodontics, Pllc are for informational purposes only.