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Individual
MRS. SONIA V. OTTE
Active
Individual
MRS. SONIA V. OTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9106875
FL
363A00000X
Physician Assistant
PAX00009762
FL
363AM0700X
Medical Physician Assistant
PA9106875
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26560
MEDICA HEALTH
FL
01
—
60280
HEALTH SUN HEALTH PLAN
FL
01
—
9953918
AETNA
FL
01
—
P01130707
RAILROAD MCR
FL
01
—
QMP000004134117
MOLINA HEALTH
FL
01
—
Y0ET0
BCBS FL
FL
Enumeration date
12/17/2012
Last updated
04/04/2013
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