Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gonzalo Ortiz

Individual provider Ophthalmology Physician · NPI 1740713643

Gonzalo Ortiz is an Ophthalmology in Port Orange, Florida. Graduated from University of South Florida College of Medicine in 2017, 9 years ago. Practices with Magruder Eye Institute, PLLC, a 23-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Trained at
University of South Florida College of Medicine
Licensed in
FL
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

741 Dunlawton Ave
Port Orange, FL 32127-9226
Phone: (800) 255-7188
Fax: (407) 423-9040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 529 Health Blvd, Daytona Beach, FL 32114-1493 — (800) 255-7188
  • 1121 Miranda Ln, Kissimmee, FL 34741-0763 — (800) 255-7188

Specialties & licences

Retina Specialist (Ophthalmology) Physician (primary) Taxonomy 207WX0107X · Licence ME148138 (FL)
Ophthalmology Physician Taxonomy 207W00000X · Licence ME148138 (FL)

Record details

NPI number1740713643
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 6, 2017
Last updated in NPPESSeptember 7, 2025
Certification dateSeptember 7, 2025
Mailing address3824 Oakwater Cir, Orlando, FL 32806-6263

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolUNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Magruder Eye Institute, Pllc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Port Orange