Ortiz, Gonzalo

Ortiz, Gonzalo is an individual health care provider with primary practice located at 741 Dunlawton Ave , Port Orange FL 32127-9226. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Ortiz, Gonzalo can be contacted via phone (800) 255-7188.

Contact Information

Primary practice address
741 Dunlawton Ave Port Orange FL 32127-9226
Phone: (800) 255-7188
Fax: (407) 423-9040
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME148138 Florida
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X ME148138 Florida

Profile Details

NPI number 1740713643
LBN Legal business name Ortiz, Gonzalo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2017
Last updated Sep 7th, 2025 - about last year

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.

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