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

Nolan Robert Otto, MD

Individual provider Diagnostic Radiology Physician · NPI 1457053670

Nolan Robert Otto, MD is a Diagnostic Radiology Physician in Jacksonville, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2020 59th St W, Bradenton, FL 34209-4604 — (941) 567-2582

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence TRN38020 (FL)

Record details

NPI number1457053670
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 21, 2023
Last updated in NPPESJune 7, 2024
Certification dateJune 7, 2024

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