Physician Compare National (NPI:1326224569)

HEALTHCARE PROVIDER: FERNANDO ENRIQUE OTTINO M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1326224569
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4385790120
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120910000790
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	OTTINO
	Individual professional last name
Provider First Name	FERNANDO
	Individual professional first name
Provider Middle Name	E
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	NEPHROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	13005 SOUTHERN BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 141
	Group Practice or individual's line 2 address
City	LOXAHATCHEE
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	334709231
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100269
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PALMS WEST HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100130
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	LAKESIDE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	100275
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	WELLINGTON REGIONAL MEDICAL CENTER LLC
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	100080
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	JFK MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	101309
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	HENDRY REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1326224569)

HEALTHCARE PROVIDER: FERNANDO ENRIQUE OTTINO M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information