Individual
NESTOR RODRIGUEZ OTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
6901 IAN CT APT 22, NEW PORT RICHEY, FL 34653-2701
(813) 606-7017
Mailing address
6901 IAN CT APT 22, NEW PORT RICHEY, FL 34653-2701
(813) 606-7017
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
23-149
WI
Other
Enumeration date
06/12/2023
Last updated
09/10/2024
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