Search › Florida › 1223G0001X
Otis Girardeau, DDS
NPI 1710023551 · on the registry since 2007 · sole proprietor
Practice
- Address
- 3505 Southside Blvd
Ste.5
Jacksonville, FL 32216 - Phone
- (904) 564-1888
- Fax
- (904) 564-1628
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-09
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