Provider Demographics
NPI:1609766518
Name:ORTIZ, JANET (RD, LD, IBCLC)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:ORTIZ
Suffix:
Gender:F
Credentials:RD, LD, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8015 JASMINE BLVD
Mailing Address - Street 2:
Mailing Address - City:PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34668-3225
Mailing Address - Country:US
Mailing Address - Phone:727-359-5961
Mailing Address - Fax:
Practice Address - Street 1:8015 JASMINE BLVD
Practice Address - Street 2:
Practice Address - City:PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34668-3225
Practice Address - Country:US
Practice Address - Phone:727-359-5961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
L-154876174N00000X
FLND8413133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No174N00000XOther Service ProvidersLactation Consultant, Non-RN