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Jaclyn Lisa Otero, MD
Student in an Organized Health Care Education/Training Program in Gainesville, Florida
NPI 1992947238

Jaclyn Lisa Otero is a Student in an Organized Health Care Education/Training Program based in Orlando, FL. Jaclyn Lisa Otero practices in Gainesville, FL and has the professional credentials of MD. The NPI Number for Jaclyn Lisa Otero is 1992947238 and holds a License No. ME112268 (Florida).

The current practice location address for Jaclyn Lisa Otero is 1600 Sw Archer Rd, Gainesville, FL and can be reached out via phone at 352-273-6563 and via fax at 352-273-6250.

Location: 1600 Sw Archer Rd, Gainesville, FL, 32891-8025
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992947238
Provider Name
Jaclyn Lisa Otero
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1600 Sw Archer Rd, Gainesville, FL, 32891-8025
Phone Number
352-273-6563
Fax Number
352-273-6250
Provider Enumeration Date
04/01/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
005941600 05 FL
institution
Provider Business Practice Location Address Details
Address
1600 Sw Archer Rd
City
Gainesville
State
Florida
Zip
32610-3003
Phone Number
352-273-6563
Fax Number
352-273-6250
person
Provider Business Mailing Address Details
Address
1600 Sw Archer Rd
City
Gainesville
State
Florida
Zip
32610-3003
Phone Number
352-273-6563
Fax Number
352-273-6250
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
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Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
ME112268 (Florida)
Definition
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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