Individual
PATRICK THOMAS OTTUSO
Active
Individual
PATRICK THOMAS OTTUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M D F A A D
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME62353
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070015813
RR MEDICARE
FL
01
—
18397
BLUE CROSS
FL
01
—
9614490
GHI
FL
Enumeration date
11/29/2005
Last updated
10/11/2007
Update your record
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