Ortiz, Crystal Brook

Ortiz, Crystal Brook is an individual health care provider with primary practice located at 325 1St St N , Winter Haven FL 33881-4111. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Ortiz, Crystal Brook can be contacted via phone (863) 293-1191.

Contact Information

Primary practice address
325 1St St N Winter Haven FL 33881-4111
Phone: (863) 293-1191
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN11003437 Florida

Profile Details

NPI number 1275182271
LBN Legal business name Ortiz, Crystal Brook
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2019
Last updated Feb 9th, 2026 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1275182271 NPPES
Florida MEDICAID 104179800

Popular Providers