Provider Demographics
NPI:1285825638
Name:ORTIZ, HERNANDO ARTURO (OMD)
Entity Type:Individual
Prefix:
First Name:HERNANDO
Middle Name:ARTURO
Last Name:ORTIZ
Suffix:
Gender:M
Credentials:OMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3808 N TAMIAMI TRL
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34234-5362
Mailing Address - Country:US
Mailing Address - Phone:941-355-9080
Mailing Address - Fax:
Practice Address - Street 1:3808 N TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34234-5362
Practice Address - Country:US
Practice Address - Phone:941-355-9080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-08
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2262171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist