DR. MALLORY OTTO

Address: 1600 Sw Archer Rd, Uf Health Shands, Gainesville, FL 32610-2610
Phone: 3522739212

DR. MALLORY OTTO (NPI# 1124317532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124317532
Entity Type 1 - Individual
Full Name DR. MALLORY OTTO
Credential M.D.
Practice Address 1600 Sw Archer Rd
Uf Health Shands
Gainesville
FL 32610-2610
Mailing Address Po Box 112610
Uf Health Shands Dept of Aging
Gainesville
FL 32611
Practice Telephone 3522739212
Practice Fax Number 3522657228
Enumeration Date 04/06/2011
Last Update Date 08/18/2015
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
ME123300 FL Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
FL 014883700 05

Office Location

Street Address 1600 SW ARCHER RD
UF HEALTH SHANDS
City GAINESVILLE
State FL
Zip Code 32610-2610

Providers with the same location

NPI Name Address
1669475554 WALTER J MILTON 1600 Sw Archer Rd, Gainesville, FL 32610-3003
1669476347 MS. JOAN ELLA ENGLISH 1600 Sw Archer Rd, Gainesville, FL 32610-3003
1245234624 DR. BRUCE K. STECHMILLER 1600 Sw Archer Rd, Gainesville, FL 32610-3003
1194720508 BEVERLY PIPER GIORDANO 1600 Sw Archer Rd, Gainesville, FL 32610-3003
1750386900 GREGG LEE ROGERS 1600 Sw Archer Rd, Gainesville, FL 32610-3003
1295730737 TUNG T WYNN 1600 Sw Archer Rd, Gainesville, FL 32610-3003
1174528780 SCOTT WILLIAM PETERSON 1600 Sw Archer Rd, Gainesville, FL 32610-3003
1013914472 DUANE DAVID WOOLEY 1600 Sw Archer Rd, Box 100371, Gainesville, FL 32610-3001
1700883485 DR. ERIC KIRK THOBURN 1600 Sw Archer Rd, Gainesville, FL 32610-3003
1023015823 ANTHONY P MCDONALD 1600 Sw Archer Rd, Gainesville, FL 32610-3003

Competitor

Search similar physicians

City GAINESVILLE
Zip Code 32610

Improve Information

Please comment or provide details below to improve the information on .

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.