Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GONZALO ORTIZ
ActiveGONZALO ORTIZ is a Sports Medicine (Emergency) healthcare provider located in PORT ORANGE, Florida. NPI 1740713643 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Emergency) · PORT ORANGE, FL
Registration Details
- NPI Number
- 1740713643
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 6, 2017 (9.4024485059343 yrs)
- Last Updated
- Sep 7, 2025
- Licenses
-
ME148138 (FL)ME148138 (FL)
Practice Information
- Address
-
741 DUNLAWTON AVEPORT ORANGE, FL, 321279226Browse FL providers · Browse ZIP 32127
- Phone
- 8002557188
- Fax
- 4074239040
- Primary Specialty
-
Sports Medicine (Emergency)
207WX0107X
- Additional Specialty
- Sports Medicine (Emergency)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.