Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Larry O Otwell, AUDCCCA

Individual provider Audiologist · NPI 1417941329

Larry O Otwell, AUDCCCA is an Audiologist in Lynn Haven, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2005
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Practice location Address checks out

2518 S Highway 77 Ste A
Lynn Haven, FL 32444-4730
Phone: (850) 769-2705
Fax: (850) 769-1097
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence AY370 (FL)

Record details

NPI number1417941329
Entity typeIndividual (Type 1)
GenderMale
Credentials AUDCCCA
Sole proprietorYes
NPI enumeratedSeptember 7, 2005
Last updated in NPPESApril 3, 2013

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