Otero, Marcos
Otero, Marcos is an individual health care provider with primary practice located at 345 Miracle Strip Pkwy S.W , Fort Walton Beach FL 32548. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Otero, Marcos can be contacted via phone (850) 244-3211.Contact Information
Primary practice address
345 Miracle Strip Pkwy S.W
Fort Walton Beach FL 32548
Phone: (850) 244-3211
Fax: (850) 243-1992
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA9101030 | Florida |
Profile Details
| NPI number | 1336138072 |
|---|---|
| LBN Legal business name | Otero, Marcos |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2005 |
| Last updated | Sep 15th, 2014 - about 10 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.
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