Most Relevant Information
Provider Data
| NPI Number: | 1003279076 |
| Provider Name: | HEATHER ORTIZ MS CCC |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SA 14448 |
Most Important Dates
| Enumeration Date: | 03/29/2016 |
| Last Updated: | 03/29/2016 |
Provider Practice Location
323 PINE SHADOW LN
LAKE MARY
FL
327464822
Practice Location Phone/Fax
| Phone: | 4074612733 |
| Fax: |
Provider Mailing Location
323 PINE SHADOW LN
LAKE MARY
FL
327464822
Provider Mailing Phone/Fax
| Phone: | 4074612733 |
| Fax: |