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Mr. Otto R Medinilla JR., PAC
Physician Assistant in Fort Myers, Florida
NPI 1649259540

Otto R Medinilla JR. is a Physician Assistant based in Wilmington, FL. Otto R Medinilla JR. practices in Fort Myers, FL and has the professional credentials of PAC. The NPI Number for Otto R Medinilla JR. is 1649259540 and holds a License No. C50000198 (Florida).

The current practice location address for Otto R Medinilla JR. is 11300 Lindbergh Blvd Ste 115, Fort Myers, FL and can be reached out via phone at 239-245-8600 and via fax at 239-245-8660. You can also correspond with Otto R Medinilla JR. through the mailing address at PO BOX 3048, WILMINGTON, DE - 19804 (mailing address contact number: 302-224-5678).

Location: 11300 Lindbergh Blvd Ste 115, Fort Myers, FL, 19804
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649259540
Provider Name
Otto R Medinilla JR.
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
11300 Lindbergh Blvd Ste 115, Fort Myers, FL, 19804
Phone Number
239-245-8600
Fax Number
239-245-8660
Provider Enumeration Date
01/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1000036903 05 DE
institution
Provider Business Practice Location Address Details
Address
11300 Lindbergh Blvd Ste 115
City
Fort Myers
State
Florida
Zip
33913-8827
Phone Number
239-245-8600
Fax Number
239-245-8660
person
Provider Business Mailing Address Details
Address
Po Box 3048
City
Wilmington
State
Delaware
Zip
19804
Phone Number
302-224-5678
Fax Number
302-224-2848
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
C50000198 (Delaware)
Definition
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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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