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Organization
REGAL FAMILY CARE, INC.
Active
Organization
REGAL FAMILY CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELLY A OTERO M.D (PRESIDENT)
(352) 243-0206
Entity
Organization
Contact information
Practice address
1120 CITRUS TOWER BLVD, SUITE 300, CLERMONT, FL 34711-1909
(352) 243-0206
(352) 243-1822
Mailing address
PO BOX 2379, MINNEOLA, FL 34755-2379
(352) 243-0206
(352) 243-1822
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME52940
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09918
BCBS OF FLORIDA
FL
Enumeration date
01/15/2007
Last updated
04/09/2009
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