Organization
PATRICK T OTTUSO M D F A A D P A
Active
Other names
vero beach dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK THOMAS OTTUSO MD (PRESIDENT)
(772) 299-0085
Entity
Organization
Contact information
Practice address
1955 22ND AVENUE, VERO BEACH, FL 32960
(772) 299-0085
(772) 978-4193
Mailing address
1955 22ND AVENUE, VERO BEACH, FL 32960
(772) 299-0085
(772) 978-4193
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME62353
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME62353
MEDICAL LICENSE
FL
Enumeration date
07/19/2006
Last updated
10/10/2007
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