MATTHEW MIKIO OTA

OCALA, FL
NPI1588844351
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9107328)
Additional Taxonomies363A00000X Physician Assistant
(Licence: HI  AMD-309)
Enumeration Date2007-11-09
Last Update Date2019-11-19
Business Address
Mr. MATTHEW MIKIO OTA PA-C
2135 SW 19TH AVENUE RD STE 103
OCALA, FL 34471-7877
Phone number: 352-237-4133
Mailing Address
Mr. MATTHEW MIKIO OTA PA-C
2230 SW 19TH AVENUE RD
OCALA, FL 34471-1391
Phone number: 352-237-4133