1417941329 NPI number — LARRY O OTWELL AUD CCCA

Table of content: LARRY O OTWELL AUD CCCA (NPI 1417941329)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417941329 NPI number — LARRY O OTWELL AUD CCCA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
OTWELL
Provider First Name:
LARRY
Provider Middle Name:
O
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
AUD CCCA
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1417941329
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/03/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2518 S HIGHWAY 77 STE A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LYNN HAVEN
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32444-4730
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
850-769-2705
Provider Business Mailing Address Fax Number:
850-769-1097

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2518 S HIGHWAY 77 STE A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LYNN HAVEN
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32444-4730
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
850-769-2705
Provider Business Practice Location Address Fax Number:
850-769-1097
Provider Enumeration Date:
09/07/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X , with the licence number:  AY370 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: AD782 . This is a "MEDICARE GROUP" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: K0176 . This is a "MEDICARE OLD PTAN" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: S1844 . This is a "BCBS" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 600185800 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 600237400 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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