Individual
MR. MARCOS OTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
345 MIRACLE STRIP PKWY S.W, FORT WALTON BEACH, FL 32548
(850) 244-3211
(850) 243-1992
Mailing address
345 MIRACLE STEIP PKWY S.W., FORT WALTON BEACH, FL 32548
(850) 244-3211
(850) 248-1992
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9101030
FL
Other
Enumeration date
10/16/2005
Last updated
09/15/2014
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