| Street | 2011 E Oakland Park Blvd | ||
| City/Town | Oakland Park | ||
| State/Province/Region | Florida | ||
| Zip/Postal Code | 33306 | ||
| Phone Number | (954) 564-6220 | ||
| Country | United States |
| Full Name | Tia Ortiz | ||
| Gender | female | ||
| Birthday | 1995-06-27 | ||
| Social Security Number | 464-99-8746 |
| Credit card brand | JCB | ||
| Credit card number | 3584545130759139 | ||
| Expire | 2030/4 | ||
| CVV | 402 |