Individual
DR. DAVID GORDON OTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14000 FIVAY RD, HUDSON, FL 34667-7103
(727) 819-2928
Mailing address
14000 FIVAY RD, HUDSON, FL 34667-7103
(727) 819-2928
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
UO3894
FL
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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