Nelly A Otero-rodriguez, MD | |
6909 Old Highway 441 S Ste 105, Mount Dora, FL 32757-7039 | |
(352) 800-5103 | |
Not Available |
Full Name | Nelly A Otero-rodriguez |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 6909 Old Highway 441 S Ste 105, Mount Dora, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821141680 | NPI | - | NPPES |
09918 | Other | FL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME52940 (Florida) | Primary |
Entity Name | Cornerstone Health Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912327941 PECOS PAC ID: 2668691148 Enrollment ID: O20140916000252 |
Mailing Address | Practice Location Address |
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Nelly A Otero-rodriguez, MD Po Box 2379, Minneola, Minneola, FL 34755-2379 Ph: (352) 255-3229 | Nelly A Otero-rodriguez, MD 6909 Old Highway 441 S Ste 105, Mount Dora, FL 32757-7039 Ph: (352) 800-5103 |
Dr. Sam S Luk, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 17580 Us Highway 441, Mount Dora, FL 32757 Phone: 352-383-0608 | |
Sylvia Boloczko, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 16860 Us Highway 441, Mount Dora, FL 32757 Phone: 352-432-8443 Fax: 844-388-6186 | |
Robert A Martello, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3619 Lake Center Dr, Mount Dora, FL 32757 Phone: 352-383-8222 | |
Dr. Ghulam Mustafa Anwar, M.D Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 18550 Us Highway 441, Mount Dora, FL 32757 Phone: 352-735-3755 Fax: 352-735-3151 | |
Kimberly T Jackson, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2110 N Donnelly St, #200, Mount Dora, FL 32757 Phone: 352-735-8231 | |
Dr. Scott Menard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4601 North, Fl-19, Mount Dora, FL 32757 Phone: 239-245-1698 | |
Mr. Jerry Martin Alstott, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8030 Saint James Way, Mount Dora, FL 32757 Phone: 407-908-0064 Fax: 352-383-9319 |