Provider profile

Individual

Tara Marie Otto

Radiology in Fort Walton Beach, FL. NPI 1356509038, listed in the CMS NPI Registry since 05/29/2008. Bills Medicare.

NPI 1356509038Specialty RadiologyEnumerated 05/29/2008
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Registry and Medicare facts

Practice location
220 Fliva Ave Nw, Fort Walton Beach, FL 32548
CMS NPI Registry
Phone
(952) 595-1100
CMS NPI Registry
Specialty
Radiology
CMS NPI Registry
Subspecialty
Diagnostic Radiology
CMS NPI Registry
Enumeration date
05/29/2008
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
3,024 Part B
CMS Medicare 2024

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