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Organization
AMY L. MOTT OD PA
Active
Organization
AMY L. MOTT OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY LYNN MOTT OD (PRESIDENT)
(239) 433-1121
Entity
Organization
Contact information
Practice address
13300 S CLEVELAND AVE STE 45, FORT MYERS, FL 33907-3883
(239) 433-1121
Mailing address
13300 S CLEVELAND AVE STE 45, FORT MYERS, FL 33907-3883
(239) 433-1121
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 2547
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K8665
GROUP#
FL
Enumeration date
04/19/2008
Last updated
04/19/2008
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