OTTO R MEDINILLA

FORT MYERS, FL
NPI1649259540
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: DE  C50000198)
Enumeration Date2006-01-10
Last Update Date2020-12-01
Business Address
Mr. OTTO R MEDINILLA PAC
11300 LINDBERGH BLVD STE 115
FORT MYERS, FL 33913-8827
Phone number: 239-245-8600
Mailing Address
Mr. OTTO R MEDINILLA PAC
PO BOX 3048
WILMINGTON, DE 19804
Phone number: 302-224-5678
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