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Individual

RAUL ROGELIO OTERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2700 UNIVERSITY SQUARE DRIVE, RADIOLOGY ASSOCIATES OF TAMPA, TAMPA, FL 33612-5513
(813) 251-5822
(813) 254-4597
Mailing address
2700 UNIVERSITY SQUARE DRIVE, RADIOLOGY ASSOCIATES OF TAMPA, TAMPA, FL 33612-5513
(813) 251-5822
(813) 254-4597

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
ME30778
FL
2085R0202X
Diagnostic Radiology Physician
Primary
ME30778
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
066611400
FL
Enumeration date
03/23/2006
Last updated
02/11/2015
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