Individual
DR. JORGE E OTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6101 WEBB RD STE 306, TAMPA, FL 33615-2866
(813) 882-0141
(813) 885-4965
Mailing address
6101 WEBB RD STE 306, TAMPA, FL 33615-2866
(813) 882-0141
(813) 885-4965
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME21884
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001597000
—
FL
Enumeration date
09/14/2006
Last updated
04/26/2012
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