Healthcare Provider Details

I. General information

NPI: 1831427582
Provider Name (Legal Business Name): A PLUS PEDIATRICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2009
Last Update Date: 09/09/2021
Certification Date: 09/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

706 E GRAND HWY
CLERMONT FL
34711-3708
US

IV. Provider business mailing address

706 E GRAND HWY
CLERMONT FL
34711-3708
US

V. Phone/Fax

Practice location:
  • Phone: 352-557-4965
  • Fax: 352-404-6955
Mailing address:
  • Phone: 407-446-4117
  • Fax: 352-404-6955

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME89425
License Number StateFL

VIII. Authorized Official

Name: DR. ANGELES I OTERO
Title or Position: OWNER
Credential: MD
Phone: 352-557-4965