Individual
LILEEAN MARIE OTHMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8950 DR MLK ST N, SUITE 190, SAINT PETERSBURG, FL 33702
(727) 576-7600
Mailing address
915 N FRANKLIN ST UNIT 2009, TAMPA, FL 33602-3884
(321) 289-2528
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
11038277
FL
Other
Enumeration date
07/11/2017
Last updated
03/20/2025
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