| Flavia Lorena Ortiz, | |
|
5005 Port St John Pkwy, Port St John, FL 32927-4305 | |
| (321) 633-8620 | |
| Not Available |
| Full Name | Flavia Lorena Ortiz |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 5005 Port St John Pkwy, Port St John, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568114395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11017588 (Florida) | Primary |
| Entity Name | Medfast Urgent Care Centers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285735605 PECOS PAC ID: 1052418837 Enrollment ID: O20070514000442 |
| Entity Name | Health First Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750626495 PECOS PAC ID: 7416100672 Enrollment ID: O20130122000135 |
| Entity Name | Health First Privia Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700649043 PECOS PAC ID: 3173965993 Enrollment ID: O20240524002147 |
| Mailing Address | Practice Location Address |
|---|---|
| Flavia Lorena Ortiz, 603 Anderson Dr, Deltona, FL 32725-8165 Ph: (407) 731-1094 | Flavia Lorena Ortiz, 5005 Port St John Pkwy, Port St John, FL 32927-4305 Ph: (321) 633-8620 |
Katherine Penny Leonard, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7227 N Us Highway 1 Ste 100, Port St John, FL 32927 Phone: 321-637-1595 | |
Kristen E Austin-harris, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5005 Port St John Pkwy, Port St John, FL 32927 Phone: 321-633-8620 | |
Keysha Brown, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5005 Port St John Pkwy, Port St John, FL 32927 Phone: 321-633-8620 | |
Mrs. Taniqua Denise Andrews, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3740 Curtis Blvd Ste 108, Port St John, FL 32927 Phone: 321-633-5500 Fax: 321-633-5566 | |
Sarah Maria Sampson Crandall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3740 Curtis Blvd Ste 108, Port St John, FL 32927 Phone: 321-633-5500 | |
Guilaine Jean-gilles, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6170 Stillwater Ave, Port St John, FL 32927 Phone: 321-632-2486 |