Individual
STEPHANE OTMEZGUINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 W COMMERCIAL BLVD STE 5, ANESCO NORTH BROWARD LLC, FORT LAUDERDALE, FL 33309
(954) 485-5666
(954) 484-1651
Mailing address
3601 W COMMERCIAL BLVD STE 5, ANESCO NORTH BROWARD LLC, FORT LAUDERDALE, FL 33309
(954) 485-5666
(954) 484-1651
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME72739
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259634200
—
FL
Enumeration date
04/19/2006
Last updated
09/26/2013
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