Individual
JIMMY N. OTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C-SA
Contact information
Practice address
5079 SW 103RD AVE, COOPER CITY, FL 33328-4900
(954) 534-4855
(954) 252-4073
Mailing address
5079 SW 103RD AVE, COOPER CITY, FL 33328-4900
(954) 534-4855
(954) 252-4073
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
15-345
CO
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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