| Adriana Otto Md Pa | |
|
1400 S Orlando Ave Suite 205 Winter Park FL 32789-5543 | |
| (321) 972-8274 | |
| (321) 972-8277 |
| Full Name | Adriana Otto Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1400 S Orlando Ave, Winter Park, Florida |
| Authorized Official Name and Position | Adriana Otto (PRESIDENT) |
| Authorized Official Contact | 3219728274 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adriana Otto Md Pa 1400 S Orlando Ave Suite 205 Winter Park FL 32789-5543 Ph: (321) 972-8274 | Adriana Otto Md Pa 1400 S Orlando Ave Suite 205 Winter Park FL 32789-5543 Ph: (321) 972-8274 |
| NPI Number | 1851533350 |
|---|---|
| Provider Enumeration Date | 03/30/2009 |
| Last Update Date | 04/09/2009 |
| Medicare PECOS PAC ID | 3577610583 |
|---|---|
| Medicare Enrollment ID | O20090408000618 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851533350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME76007 (Florida) | Primary |
| Provider Name | Adriana Otto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689650723 PECOS PAC ID: 3274514815 Enrollment ID: I20040528000233 |
| Provider Name | Kyounghee Han |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962944017 PECOS PAC ID: 8820379019 Enrollment ID: I20161230000401 |
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