Healthcare Provider Details

I. General information

NPI: 1316538416
Provider Name (Legal Business Name): FRANCESCA OTERO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2021
Last Update Date: 02/23/2021
Certification Date: 02/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1695 NW 110TH AVE STE 317
MIAMI FL
33172-1930
US

IV. Provider business mailing address

360 MILLER DR
MIAMI SPRINGS FL
33166-6133
US

V. Phone/Fax

Practice location:
  • Phone: 305-671-3654
  • Fax: 305-459-3242
Mailing address:
  • Phone: 786-251-4059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11009671
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: