| Doctor Name: | ROBERT ANTHONY OTERO |
| NPI Number: | 1033400122 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSN, FNP-BC |
| License Number: | ARNP3317762 |
| Business Practice Address: | 1050 Cypress Pkwy Kissimmee, FL - 347593328 |
| Business Phone Number: | 4074831400 |
| Business Fax Number: | 4074831405 |
| Mailing Address: | Po Box 616788, ORLANDO |
| State: | FL |
| Postal Code: | 328616788 |
| Phone Number: | 4074831400 |
| Fax Number: | 4074831405 |
| NPI Enumeration Date: | 04/25/2011 |
| NPI Last Update Date: | 06/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ARNP3317762 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |