Tyler Theodore Otto
Tyler Theodore Otto is a Family Practice in Largo, Florida. Qualified in 2018, 8 years ago. Practices with Suncoast Family Medical Associates, a 14-clinician group and accepts Medicare assignment. Licensed in Florida.
- Years since qualifying
- 8
- Licensed in
- FL
- In the registry since
- 2018
Practice location Address checks out
12020 Seminole BlvdLargo, FL 33778-2805
Phone: (727) 588-9572
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 17987 (FL) |
|---|
Record details
| NPI number | 1639667314 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 27, 2018 |
| Last updated in NPPES | July 15, 2021 |
| Certification date | July 15, 2021 |
| Mailing address | 12020 Seminole Blvd, Largo, FL 33778-2805 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Suncoast Family Medical Associates — 14 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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