| Ortho Visits LLC | |
|
1750 Tree Blvd Ste 5 St Augustine FL 32084-5719 | |
| (904) 342-0672 | |
| (833) 438-1287 |
| Full Name | Ortho Visits LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 1750 Tree Blvd Ste 5, St Augustine, Florida |
| Authorized Official Name and Position | Jorge Enrique De La Rotta (OWNER/PROVIDER) |
| Authorized Official Contact | 9043772675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ortho Visits LLC 57 Willow Island Pt Saint Augustine FL 32092-1982 Ph: (904) 392-0842 | Ortho Visits LLC 1750 Tree Blvd Ste 5 St Augustine FL 32084-5719 Ph: (904) 342-0672 |
| NPI Number | 1184531352 |
|---|---|
| Provider Enumeration Date | 08/25/2026 |
| Last Update Date | 08/25/2026 |
| Certification Date | 08/25/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184531352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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