Individual
MR. KEVIN L OTTOSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
14243 POWELL RD, UNIT 201, SPRING HILL, FL 34609-8100
(352) 600-2990
Mailing address
14243 POWELL RD, UNIT 201, SPRING HILL, FL 34609-8100
(352) 600-2990
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO-5151
FL
Other
Enumeration date
02/13/2013
Last updated
02/13/2013
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