| Larry O Otwell, AUD CCCA | |
|
2518 S Highway 77 Ste A, Lynn Haven, FL 32444-4730 | |
| (850) 769-2705 | |
| (850) 769-1097 |
| Full Name | Larry O Otwell |
|---|---|
| Gender | Male |
| Speciality | Audiologist |
| Location | 2518 S Highway 77 Ste A, Lynn Haven, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417941329 | NPI | - | NPPES |
| AD782 | Other | FL | MEDICARE GROUP |
| K0176 | Other | FL | MEDICARE OLD PTAN |
| S1844 | Other | FL | BCBS |
| 600185800 | Medicaid | FL | |
| 600237400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | AY370 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Larry O Otwell, AUD CCCA 2518 S Highway 77 Ste A, Lynn Haven, FL 32444-4730 Ph: (850) 769-2705 | Larry O Otwell, AUD CCCA 2518 S Highway 77 Ste A, Lynn Haven, FL 32444-4730 Ph: (850) 769-2705 |
Audiology Consultants Pa Of Panama City Audiologist Medicare: Medicare Enrolled Practice Location: 2518 S Highway 77 Ste A, Lynn Haven, FL 32444 Phone: 850-769-2705 Fax: 850-769-1097 | |
Marcus P Kolmetz, MA CCCA Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2518 S Highway 77 Ste A, Lynn Haven, FL 32444 Phone: 850-769-2705 Fax: 850-769-1097 |