Nelly A Otero-rodriguez, MD | |
2445 Lane Park Rd, Tavares, Tavares, FL 32778-9648 | |
(352) 742-6813 | |
(352) 343-0325 |
Full Name | Nelly A Otero-rodriguez |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 2445 Lane Park Rd, Tavares, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821141680 | NPI | - | NPPES |
09918 | Other | FL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME52940 (Florida) | Primary |
Entity Name | Cornerstone Health Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912327941 PECOS PAC ID: 2668691148 Enrollment ID: O20140916000252 |
Mailing Address | Practice Location Address |
---|---|
Nelly A Otero-rodriguez, MD Po Box 2379, Minneola, Minneola, FL 34755-2379 Ph: (352) 255-3229 | Nelly A Otero-rodriguez, MD 2445 Lane Park Rd, Tavares, Tavares, FL 32778-9648 Ph: (352) 742-6813 |
Devlin O'connor, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3330 Waterman Way, Tavares, FL 32778 Phone: 352-343-0181 Fax: 352-343-0812 | |
Dr. Perth Agusta Blake, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1840 Classique Ln, Tavares, FL 32778 Phone: 352-508-5046 Fax: 352-508-5048 | |
James L. Willis, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1741 David Walker Dr, Tavares, FL 32778 Phone: 352-742-8836 Fax: 352-742-8829 | |
Dr. John Thomas Watson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1729 David Walker Dr, Tavares, FL 32778 Phone: 352-508-4455 Fax: 844-388-6186 | |
David G Koo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 352-742-8836 Fax: 352-742-8829 | |
Stephen E Young, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1707 Mayo Drive, Tavares, FL 32778 Phone: 352-253-2511 Fax: 352-253-2522 | |
Chuong Hoang Vu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1755 David Walker Dr, Tavares, FL 32778 Phone: 352-742-8830 Fax: 352-742-8826 |