Individual provider · Type 1 NPI
Gonzalo Ortiz
Retina Specialist (Ophthalmology) Physician · Port Orange, FL
NPI number
1740713643
Active
Practice location
741 Dunlawton Ave
Port Orange, FL 32127-9226
Fax (407) 423-9040
Mailing address
3824 Oakwater Cir
Orlando, FL 32806-6263
Other practice locations
- 529 Health Blvd, Daytona Beach, FL 32114-1493 · (800) 255-7188
- 1121 Miranda Ln, Kissimmee, FL 34741-0763 · (800) 255-7188
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology Physician | 207W00000X | ME148138 (FL) |
| Retina Specialist (Ophthalmology) Physician Primary | 207WX0107X | ME148138 (FL) |
Retina Specialist (Ophthalmology) Physician: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
2 other providers at this address
About NPI 1740713643
Gonzalo Ortiz's National Provider Identifier is 1740713643, issued on Apr 6, 2017. The primary taxonomy on file is Retina Specialist (Ophthalmology) Physician (207WX0107X), and the practice location is in Port Orange, FL. The record was last updated on Sep 7, 2025.