CLEOPATRA ORTIZ, MD, PA
Ambulatory Health at Forum Pl, West Palm Beach, FL

License number
Florida ME 0081266
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: DR. CLEOPATRA ORTIZ MD
Title: PRESIDENT
Phone: (561) 248-5920
Address
Address
1639 Forum Pl STE 7, West Palm Beach, FL 33401
National Provider ID: 1659662914
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Cleopatra Ortiz, M.D., PA

West Palm Beach, FL

Industry:
Medical Doctor's Office
Registration:
Dec 13, 2010
Addresses:
1639 Forum Pl, West Palm Beach, FL 33401
PO Box 1465, West Palm Beach, FL 33402
State ID:
P10000100539
Business type:
Domestic for Profit Corporation
President, Secretary, Treasurer, Directors:
Ortiz, Md Pa Cleopatra (Secretary, President),Cleopatra Ortiz President, Secretary, Treasurer, Director, inactive

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