Organization
OTTO L SECADA MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OTTO L SECADA MD (PHYSICIAN)
(305) 828-5677
Entity
Organization
Contact information
Practice address
7150 W 20TH AVE STE 209, HIALEAH, FL 33016-5531
(305) 828-5677
(305) 828-9196
Mailing address
7150 W 20TH AVE STE 209, HIALEAH, FL 33016-5531
(305) 828-5677
(305) 828-9196
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME60146
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057633600
—
FL
Enumeration date
04/01/2011
Last updated
12/04/2025
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