Marcos Otero is a Medical in Fort Walton Beach, Florida. Marcos Otero practices all healthcare services and medical treatments related to Medical. The NPI Number for Marcos Otero is 1336138072. The last update date is 2014-09-15.
Marcos Otero's current location address is 345 Miracle Steip Pkwy S.w., Fort Walton Beach, Florida. You can contact this provider via phone number 8502443211 and fax number 8502481992. The mailing address for Marcos Otero is 345 Miracle Steip Pkwy S.w., Fort Walton Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marcos Otero |
|---|---|
| Address | 345 Miracle Steip Pkwy S.w., Fort Walton Beach, Florida |
| Phone Number | 8502443211 |
| Fax Number | 8502481992 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1336138072 |
|---|---|
| Provider Enumeration Date | 2005-10-16 |
| Last Updated Date | 2014-09-15 |
Provider Mailing Address Detail
| Address | 345 Miracle Steip Pkwy S.w. |
|---|---|
| City | Fort Walton Beach |
| State | Florida (FL) |
| Post Code | 32548 |
| Phone Number | 8502443211 |
| Fax Number | 8502481992 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA9101030 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique identification code assigned to Marcos Otero by the Centers for Medicare & Medicaid Services?
The Marcos Otero has been issued the NPI (National Provider Identifier) 1336138072. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Marcos Otero's physical address?
The Marcos Otero is physically located at 345 Miracle Steip Pkwy S.W., in the city of Fort Walton Beach, FL, with the postal code 32548.
What is Marcos Otero's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Marcos Otero's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1336138072 to Marcos Otero?
The Marcos Otero received its 1336138072 assignment from the Centers for Medicare & Medicaid Services on 2005-10-16.
As of what date were the details related to Marcos Otero most recently updated or revised?
The information pertaining to Marcos Otero, including its address, specialty, and other relevant details, was last updated or revised on 2014-09-15.
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