| Gonzalo Ortiz, | |
|
741 Dunlawton Ave, Port Orange, FL 32127-9226 | |
| (800) 255-7188 | |
| (407) 423-9040 |
| Full Name | Gonzalo Ortiz |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 8 Years |
| Location | 741 Dunlawton Ave, Port Orange, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740713643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | ME148138 (Florida) | Secondary |
| 207WX0107X | Ophthalmology - Retina Specialist | ME148138 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Magruder Eye Institute Pllc | 3971582024 | 27 |
| 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: Medicare Enrolled 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 |