Provider Demographics
NPI:1154561199
Name:ORTIZ, FELIX ANGEL (PSYD)
Entity type:Individual
Prefix:DR
First Name:FELIX
Middle Name:ANGEL
Last Name:ORTIZ
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2843 SUMMER SWAN DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-7404
Mailing Address - Country:US
Mailing Address - Phone:407-382-1196
Mailing Address - Fax:407-382-1196
Practice Address - Street 1:2843 SUMMER SWAN DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-7404
Practice Address - Country:US
Practice Address - Phone:407-382-1196
Practice Address - Fax:407-382-1196
Is Sole Proprietor?:No
Enumeration Date:2009-03-04
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY7883103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist