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
Provider Name :Jaclyn Lisa Otero
Credential :MD
Gender :Female
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
Phone Number :352-273-6563
Fax Number :352-273-6250
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
NPI Entity Type : Individual
First Enrolment Date : 01 Apr, 2009
Last Updated On : 16 Aug, 2012
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 SpecialityPrimaryLicense No.State
390200000XStudent in an Organized Health Care Education/Training ProgramNo
208000000XPediatricsYesME112268FL
Legacy Identifiers:
Other legacy medical identifiers of Jaclyn Lisa Otero such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
005941600MEDICAIDFL
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
Phone Number :352-273-6563
Fax Number :352-273-6250
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. Last updated on 08 January, 2024.