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Tara Marie Otto, MD
Diagnostic Radiology Physician in Fort Walton Beach, Florida
NPI 1356509038

Tara Marie Otto is a Diagnostic Radiology Physician based in Eden Prairie, FL and is specialized in Diagnostic Radiology. Tara Marie Otto practices in Fort Walton Beach, FL and has the professional credentials of MD. The NPI Number for Tara Marie Otto is 1356509038 and holds a License No. ME113202 (Florida).

The current practice location address for Tara Marie Otto is 220 Fliva Ave Nw, Fort Walton Beach, FL and can be reached out via phone at 952-595-1100 and via fax at 612-294-4903.

Location: 220 Fliva Ave Nw, Fort Walton Beach, FL, 55344-5347
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356509038
Provider Name
Tara Marie Otto
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
220 Fliva Ave Nw, Fort Walton Beach, FL, 55344-5347
Phone Number
952-595-1100
Fax Number
612-294-4903
Provider Enumeration Date
05/29/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
220 Fliva Ave Nw
City
Fort Walton Beach
State
Florida
Zip
32548
Phone Number
952-595-1100
Fax Number
612-294-4903
person
Provider Business Mailing Address Details
Address
220 Fliva Ave Nw
City
Fort Walton Beach
State
Florida
Zip
32548
Phone Number
952-595-1100
Fax Number
612-294-4903
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
ME113202 (Florida)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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