Otero, Angeles Ivette
Otero, Angeles Ivette is an individual health care provider with primary practice located at 706 E Grand Hwy , Clermont FL 34711-3708. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Otero, Angeles Ivette can be contacted via phone (352) 557-4965.Contact Information
Primary practice address
706 E Grand Hwy
Clermont FL 34711-3708
Phone: (352) 557-4965
Fax: (352) 404-6955
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME89425 | Florida |
Profile Details
| NPI number | 1124133343 |
|---|---|
| LBN Legal business name | Otero, Angeles Ivette |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Jul 20th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124133343 | NPPES |
| Florida | MEDICAID | 274654900 |
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