| Gonzalo Ortiz, | |
| 741 Dunlawton Ave, Port Orange, FL 32127-9226 | |
| (800) 255-7188 | |
| (407) 423-9040 | 
| Full Name | Gonzalo Ortiz | 
|---|---|
| Gender | Male | 
| Speciality | Ophthalmology - Retina Specialist | 
| Location | 741 Dunlawton Ave, Port Orange, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1740713643 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207W00000X | Ophthalmology | ME148138 (Florida) | Secondary | 
| 207WX0107X | Ophthalmology - Retina Specialist | ME148138 (Florida) | Primary | 
| Entity Name | Magruder Eye Institute Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1881661692 PECOS PAC ID: 3971582024 Enrollment ID: O20040714000562 | 
| Entity Name | Robson Eye Institute Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1881230167 PECOS PAC ID: 5294164208 Enrollment ID: O20200326001334 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Gonzalo Ortiz, 3824 Oakwater Cir, Orlando, FL 32806-6263 Ph: (407) 893-8200 | Gonzalo Ortiz, 741 Dunlawton Ave, Port Orange, FL 32127-9226 Ph: (800) 255-7188 | 
| Dr. Joah Francis Aliancy, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3641 Clyde Morris Blvd Ste 500, Port Orange, FL 32129 Phone: 561-542-1134 | |
| Dr. William Lewis Gilmer Jr., M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5111 S Ridgewood Ave, Suite 104, Port Orange, FL 32127 Phone: 386-256-1212 Fax: 386-256-1213 | |
| Dr. Qing Ge, M.D., PH.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3641 South Clyde Morris Blvd, Suite 500, Port Orange, FL 32129 Phone: 386-788-6198 Fax: 386-788-4616 | |
| Dr. Robert William Kurrle, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 140 Piper Blvd, Port Orange, FL 32128 Phone: 386-322-9030 | |
| Clifford Neil Share, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 741 Dunlawton Ave, Port Orange, FL 32127 Phone: 386-761-6665 Fax: 386-760-2369 | |
| Dr. Farhad Safi, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 741 Dunlawton Ave, Port Orange, FL 32127 Phone: 800-255-7188 Fax: 386-845-0241 |