Individual
ALISHA OTTATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
440 W HIGHWAY 436, ALTAMONTE SPRINGS, FL 32714-4136
(407) 200-2300
Mailing address
860 N ORANGE AVE APT 326, ORLANDO, FL 32801-1056
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9355187
FL
363LF0000X
Family Nurse Practitioner
Primary
9355187
FL
Other
Enumeration date
02/06/2019
Last updated
05/10/2021
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