Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jimmy N. Otero, C-SA

Individual provider Surgical Assistant · NPI 1942680731

Jimmy N. Otero, C-SA is a Surgical Assistant in Cooper City, Florida. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2015
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Practice location Address checks out

5079 SW 103rd Ave
Cooper City, FL 33328-4900
Phone: (954) 534-4855
Fax: (954) 252-4073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 15-345 (CO)

Record details

NPI number1942680731
Entity typeIndividual (Type 1)
GenderMale
Credentials C-SA
Sole proprietorYes
NPI enumeratedJune 5, 2015
Last updated in NPPESJune 5, 2015

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