| Mrs Susan Marie Otero, APRN | |
|
1719 Avant St, Valrico, FL 33594-4779 | |
| (813) 494-1149 | |
| (866) 728-2808 |
| Full Name | Mrs Susan Marie Otero |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1719 Avant St, Valrico, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386288025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11003911 (Florida) | Primary |
| Entity Name | Pediatric Physician Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770532798 PECOS PAC ID: 7113989849 Enrollment ID: O20041103001044 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Susan Marie Otero, APRN 1719 Avant St, Valrico, FL 33594-4779 Ph: (813) 494-1149 | Mrs Susan Marie Otero, APRN 1719 Avant St, Valrico, FL 33594-4779 Ph: (813) 494-1149 |
Cha Quanda Wade, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2619 Shilo Ct, Valrico, FL 33596 Phone: 813-508-3197 | |
Christine Edwards, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4320 Bell Shoals Rd, Valrico, FL 33596 Phone: 813-571-1111 | |
Jennifer Dawn Clyatt, APRN, AGNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2470 Bloomingdale Ave Ste 260, Valrico, FL 33596 Phone: 813-725-7220 Fax: 813-725-7221 | |
Jordan Dorsey, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2721 Brianholly Dr, Valrico, FL 33596 Phone: 813-431-9147 | |
Lauren Cathryn Endick, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2553 Mason Oaks Dr, Valrico, FL 33596 Phone: 813-940-6046 Fax: 866-451-4607 | |
Brittney Poole Gurski, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3444 Lithia Pinecrest Rd, Valrico, FL 33596 Phone: 813-643-9393 | |
Sharmila Lilland, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3414 Pittwood Rd, Valrico, FL 33596 Phone: 813-810-7112 |