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

Marcus Ortiz, CAA

Individual provider Anesthesiologist Assistant · NPI 1396255378

Marcus Ortiz, CAA is an Anesthesiology Assistant in Jacksonville, Florida. Qualified in 2017, 9 years ago. Practices with Brevard Physician Associates PLLC, a 219-clinician group and accepts Medicare assignment. Licensed in Florida and Indiana.

Years since qualifying
9
Licensed in
FL, IN
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

1 Shircliff Way
Jacksonville, FL 32204-4748
Phone: (904) 308-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 75000174A (IN)
Anesthesiologist Assistant Taxonomy 367H00000X · Licence AA410 (FL)

Record details

NPI number1396255378
Entity typeIndividual (Type 1)
GenderMale
Credentials CAA
Sole proprietorNo
NPI enumeratedOctober 4, 2017
Last updated in NPPESOctober 18, 2024
Certification dateOctober 18, 2024
Mailing address11763 Mandarin Forest Dr, Jacksonville, FL 32223-1792

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Brevard Physician Associates Pllc — 219 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Jacksonville