Individual provider · Type 1 NPI

Paul Otero

Student in an Organized Health Care Education/Training Program · Orlando, FL

NPI number 1689318941 Active

Practice location

12805 Pegasus Dr
Orlando, FL 32816-8030

Call (321) 271-4808 Map

Mailing address

1711 Brookside St NE
Palm Bay, FL 32907-2440

Other practice locations

  • 1711 Brookside St NE, Palm Bay, FL 32907-2440 · (321) 271-4808

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1689318941

Paul Otero's National Provider Identifier is 1689318941, issued on Apr 22, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Orlando, FL. The record was last updated on Apr 22, 2022.