Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Alfred Otero, PA-C, MPAS

Individual provider Physician Assistant · NPI 1801011663

Mr. Alfred Otero, PA-C, MPAS is a Physician Assistant in Lake City, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1465 W US Highway 90 Ste 100
Lake City, FL 32055-6154
Phone: (386) 755-2268
Fax: (386) 243-8448
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 404 Nw Hall Of Fame Dr, Lake City, FL 32055-4833 — (386) 719-2540

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA 0003636 (FL)

Record details

NPI number1801011663
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , MPAS
Sole proprietorNo
NPI enumeratedApril 16, 2007
Last updated in NPPESJune 12, 2020
Certification dateJune 12, 2020
Mailing address504 Sw Paces Gln, Lake City, FL 32024

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