Individual
ANTHONY OTTAVIANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
201 14TH ST SW, LARGO, FL 33770-3133
(727) 204-4893
(727) 585-7205
Mailing address
201 14TH ST SW, LARGO, FL 33770-3133
(727) 204-4893
(727) 585-7205
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
OS3300
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059637000
—
FL
01
—
0678454
CIGNA PPO/HMO, OPEN ACCESS
FL
01
—
10316
FLORIDA WELLCARE (MEDICARE PLAN)
FL
01
—
388453
UNITED HEALTHCARE COMMERCIAL AND MEDICARE PLANS
FL
01
—
591273247
UHC NY STATE EMPIRE PLAN
—
01
—
738136
MAIL HANDLERS BENEFIT PLAN (MHBP)
—
01
—
81895
BCBS BLUE CARE, ADVANTAGE 65 SELECT, MEDICARE PPO/HMO, GO BLUE
FL
Enumeration date
10/21/2005
Last updated
03/29/2017
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