Organization
AMY L. MOTT OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY LYNN MOTT OD (PRESIDENT)
(239) 433-1121
Entity
Organization
Contact information
Practice address
13300 S CLEVELAND AVE STE 45, FORT MYERS, FL 33907-3883
(239) 433-1121
Mailing address
13300 S CLEVELAND AVE STE 45, FORT MYERS, FL 33907-3883
(239) 433-1121
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 2547
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K8665
GROUP#
FL
Enumeration date
04/19/2008
Last updated
04/19/2008
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