Alfred Otero, PA-C, MPAS
Physician Assistant in Lake City, FL. Individual provider (NPI-1).
NPI number1801011663
StatusActive
Last updated in NPPESJun 12, 2020
Details
- NPI
- 1801011663
- Entity type
- Individual (NPI-1)
- Name
- Mr. Alfred Otero
- Credential
- PA-C, MPAS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 16, 2007
- Certification date
- Jun 12, 2020
- Last updated
- Jun 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA 0003636 | FL | Yes |
Practice location
1465 W Us Highway 90 Ste 100Lake City, FL 32055-6154
Phone 386-755-2268 · Fax 386-243-8448
Mailing address
504 Sw Paces GlnLake City, FL 32024
Phone 352-672-0184
Other practice locations
404 Nw Hall Of Fame Dr
Lake City, FL 32055-4833
Lake City, FL 32055-4833
Phone 386-719-2540 · Fax 386-752-9073
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physician Assistant providers in Lake City, FL
- Jessica Bell, PA-CNPI 1619300944
- Jeral W Carr, PA-CNPI 1326002452
- Victoria Anne D'Esposito, PA-CNPI 1639845977
- Robert E Fox, PA-CNPI 1962431387
- Felicia Karwacki, PA-CNPI 1992310585
- Anthony R Lambert, PA-CNPI 1982691218
- Eligio Loperena, P.A.NPI 1124246673
- Karen Marshall, PANPI 1205167129
- Jessica O'Sullivan Murray, PA-CNPI 1710421425
- Alden Ann Mustard, PA-CNPI 1225885890
All 15 Physician Assistant providers in Lake City · All 1,973 providers in Lake City
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.