Individual provider Active NPI

Georine Ortiz, AA-C

  • Anesthesiologist Assistant
  • Jacksonville, FL
National Provider Identifier
1528497674
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
AA180 Issued in FL
Practice address
820 Prudential Dr
Suite 606
Jacksonville, FL 32207-8210
Phone
(904) 398-3356
NPI assigned
Nov 8, 2013
Last updated
Nov 8, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X AA180 FL Primary

Addresses

Primary practice location

820 Prudential Dr
Suite 606
Jacksonville, FL 32207-8210

Mailing address

820 Prudential Dr
Suite 606
Jacksonville, FL 32207-8210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131127000510 FL Practitioner - Anesthesiology Assistant 5799911574 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miami Anesthesia Services LLCGroup PAC ID 1355651837, 168 clinicians
Nova Medical Services - Anesthesiology Division LLCGroup PAC ID 4284156613, 62 clinicians

Practice addresses (Care Compare)

306 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-5527
Phone (954) 458-1689

5352 Linton Blvd
Delray Beach, FL 33484-6514
Phone (561) 498-4440

8260 W Flagler St
Suite 1a
Miami, FL 33144-2069
Phone (786) 715-9183

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

State licenses

LicenseStateTypeSpecialty
AA180FLMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC CurrentSince Mar 1, 2025 Accepting new patients
Nova Medical Services - Anesthesiology Division LLC CurrentSince Mar 7, 2025 Accepting new patients
Hialeah Anesthesia Specialists LLC CurrentSince Aug 1, 2020 Accepting new patients
South Florida Anesthesia & Pain Treatment, P.a. CurrentSince May 28, 2025 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Feb 26, 2026 Accepting new patients
Miami Anesthesia Services LLC CurrentSince Mar 1, 2025 Accepting new patients
PBG Team Anesthesia PA CurrentSince Feb 28, 2025 Accepting new patients
Christian L Koppel MD PA Past Accepting new patients

Locations

21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

306 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 458-1689

651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370

651 E 25th St
Ste 205
Hialeah, FL 33013

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

4485 N State Road 7
Lauderdale Lakes, FL 33319
Phone (954) 720-3188

13837 Circa Crossing Dr
Ste 100
Lithia, FL 33547
Phone (352) 256-2855

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

10521 SW Village Center Dr
Ste 104
Port St Lucie, FL 34987
Phone (772) 345-8600

2441 Oak Myrtle Ln
Wesley Chapel, FL 33544
Phone (813) 563-1144

8260 W Flagler St
Ste 1A
West Miami, FL 33144
Phone (305) 220-4425

3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1528497674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 PRUDENTIAL DR",
            "address_2": "SUITE 606",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 PRUDENTIAL DR",
            "address_2": "SUITE 606",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078210",
            "telephone_number": "904-398-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "GEORINE",
        "credential": "AA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "FL",
            "license": "AA180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.