Ottuso, Patrick Thomas

Ottuso, Patrick Thomas is an sole proprietor health care provider with primary practice located at 1955 22Nd Ave , Vero Beach FL 32960-3083. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Ottuso, Patrick Thomas can be contacted via phone (772) 299-0085.

Contact Information

Primary practice address
1955 22Nd Ave Vero Beach FL 32960-3083
Phone: (772) 299-0085
Fax: (772) 978-4193
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME62353 Florida

Profile Details

NPI number 1386627867
LBN Legal business name Ottuso, Patrick Thomas
Credentials M D F A A D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2005
Last updated Oct 11th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386627867 NPPES
Florida Other 070015813 RR MEDICARE
Florida Other 9614490 RR MEDICARE
Florida Other 18397 RR MEDICARE

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