Provider Demographics
NPI:1902699952
Name:ORTIZ, ARCADIO IV
Entity type:Individual
Prefix:MR
First Name:ARCADIO
Middle Name:
Last Name:ORTIZ
Suffix:IV
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 NW 135TH WAY UNIT 106
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33325-7702
Mailing Address - Country:US
Mailing Address - Phone:954-684-7300
Mailing Address - Fax:
Practice Address - Street 1:108 NW 135TH WAY UNIT 106
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33325-7702
Practice Address - Country:US
Practice Address - Phone:954-684-7300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant