| Mr Otto R Medinilla Jr, PAC | |
|
11300 Lindbergh Blvd Ste 115, Fort Myers, FL 33913-8827 | |
| (239) 245-8600 | |
| (239) 245-8660 |
| Full Name | Mr Otto R Medinilla Jr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 11300 Lindbergh Blvd Ste 115, Fort Myers, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649259540 | NPI | - | NPPES |
| 1000036903 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | C50000198 (Delaware) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Otto R Medinilla Jr, PAC Po Box 3048, Wilmington, DE 19804 Ph: (302) 224-5678 | Mr Otto R Medinilla Jr, PAC 11300 Lindbergh Blvd Ste 115, Fort Myers, FL 33913-8827 Ph: (239) 245-8600 |
Rebeca Price, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13778 Plantation Rd, Fort Myers, FL 33912 Phone: 239-343-0454 Fax: 239-343-1078 | |
Richard Burgess, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3840 Colonial Blvd Ste 1, Fort Myers, FL 33966 Phone: 855-778-6262 Fax: 855-778-3262 | |
Jordan Antonio Facey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14601 Hope Center Loop, Fort Myers, FL 33912 Phone: 239-334-7000 Fax: 239-334-7070 | |
Olivia Grace Williams, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3650 Colonial Ct, Fort Myers, FL 33913 Phone: 904-534-4749 | |
Kaitlin Mullins, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9981 S Healthpark Dr, Fort Myers, FL 33908 Phone: 239-432-3825 | |
Jamison Dicus, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7370 College Pkwy Ste 206, Fort Myers, FL 33907 Phone: 512-730-3056 Fax: 888-730-1925 | |
Carolyn Sarah Howell, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9981 S Healthpark Dr, Fort Myers, FL 33908 Phone: 239-343-2606 Fax: 239-343-3695 |