Individual provider · Type 1 NPI

Otto R. Medinilla Jr., PAC

Physician Assistant · Fort Myers, FL

NPI number 1649259540 Active

Practice location

11300 Lindbergh Blvd Ste 115
Fort Myers, FL 33913-8827

Call (239) 245-8600 Map

Fax (239) 245-8660

Mailing address

PO Box 3048
Wilmington, DE 19804

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XC50000198 (DE)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1649259540

Otto R. Medinilla Jr., PAC's National Provider Identifier is 1649259540, issued on Jan 10, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Myers, FL. The record was last updated on Dec 1, 2020.