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Search › Florida › 363A00000X

Otto Medinilla, PAC

NPI 1649259540 · on the registry since 2006 · sole proprietor

Practice

Address
11300 Lindbergh Blvd Ste 115
Fort Myers, FL 33913
Phone
(239) 245-8600
Fax
(239) 245-8660
Organisation at this address
Eventus Rx Llc
Eventus Infusion Llc
Lifestyles Chiropractic
Lifestyles Healthcare Group Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
DE
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-12-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida