Individual
MICHAEL C OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
307 BOATNER RD STE 114, EGLIN AFB, FL 32542-1302
(850) 883-8333
Mailing address
307 BOATNER RD STE 114, EGLIN AFB, FL 32542-1302
(850) 883-8333
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME75862
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266469100
—
FL
01
—
43823
BCBS OF FLORIDA
FL
01
—
P00060804
RR MEDICARE
FL
Enumeration date
12/01/2005
Last updated
10/10/2025
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