Individual
DR. OTTO WALTER OHM II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(904) 542-9644
Mailing address
804 PEPPERVINE AVE, JACKSONVILLE, FL 32259-5273
(904) 287-8421
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101223953
VA
Other
Enumeration date
02/08/2006
Last updated
05/02/2014
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