Jaclyn Lisa Otero
MD | Pediatrics | Female
Jaclyn Lisa Otero, MD is a Gainesville, Florida based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jaclyn Lisa Otero is
1600 Sw Archer Rd, Gainesville, Florida - 32610-3003. She can be contacted on phone at
352-273-6563 and fax number 352-273-6250.
Jaclyn Lisa Otero is a sole proprietor of her business.
NPI number (Unique professional ID) for Jaclyn Lisa Otero is
1992947238 which was assigned by NPPES on 01 Apr, 2009 and it was last updated on 16 Aug, 2012.
Jaclyn Lisa Otero license number is
ME112268 for Pediatrics (208000000X) in Florida.
Jaclyn Lisa Otero is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jaclyn Lisa Otero basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Jaclyn Lisa Otero |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Jaclyn Lisa Otero address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1600 Sw Archer Rd
Gainesville, FL, 32610-3003
United States |
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| Phone Number : | 352-273-6563 |
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| Fax Number : | 352-273-6250 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1992947238 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 01 Apr, 2009 |
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| Last Updated On : | 16 Aug, 2012 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jaclyn Lisa Otero are as mentioned. Primary taxonomy code for Jaclyn Lisa Otero, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
| 208000000X | Pediatrics | Yes | ME112268 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Jaclyn Lisa Otero such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 005941600 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 918025
Orlando, FL, 32891-8025
United States |
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| Phone Number : | 352-273-6563 |
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| Fax Number : | 352-273-6250 |
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Business Location:
Patients can refer following map for directions to
Jaclyn Lisa Otero practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.