MEDICARE: ASHLEY OTERO L.AC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AP3364	FL

General Provider Information

NPI Number	:	1750229415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY OTERO L.AC.

Provider Business Mailing Address
First Line	:	224 LIVE OAK LN
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-5831
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1551 SANDSPUR RD STE 101
Second Line	:
City	:	MAITLAND
State	:	FL
Zip	:	32751-6138
Country	:	US
Telephone Number	:	321-926-2997
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

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Directions to “ ASHLEY OTERO L.AC.” Practice Location

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