Mallory B Otto Geriatric Medicine
2000 Sw Archer Rd, Gainesville, FL 32610-3003


Mallory B Otto is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1124317532. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 0941514384. The primary specialty is GERIATRIC MEDICINE. The organization is FLORIDA CLINICAL PRACTICE ASSOCIATION INC. The address is 2000 Sw Archer Rd, Gainesville, FL 32610-3003. The zip code is 32610.


Mallory B Otto · 2000 Sw Archer Rd, Gainesville, FL 32610-3003

Nation Provider ID 1124317532
PAC ID by PECOS 0941514384
Professional Enrollment ID I20150729010195
Last Name OTTO
First Name MALLORY
Middle Name B
Gender F
Medical School Name OTHER
Graduation Year 2011
Primary Specialty GERIATRIC MEDICINE
Primary Specialty FLORIDA CLINICAL PRACTICE ASSOCIATION INC
Phone Number 3522658250
Group Practice PAC ID 0345146254
Number of Group Practice Members 1001
Address 2000 SW ARCHER RD
GAINESVILLE, FL 326103003
Claims Based Hospital Affiliation Claim Control Number (CCN): 100113
Legal Business Name: UF HEALTH SHANDS HOSPITAL
Professional accepts Medicare Assignment Y
Report Quality Measures Y

street_number: 2000
route: Southwest Archer Road (SW Archer Rd)
locality, political: Gainesville
admin_level_2, political: Alachua County
admin_level_1, political: Florida (FL)
country, political: United States (US)
postal_code: 32608
types : street_address
latitude: 29.5967772
longitude: -82.4156033
latlng: (29.5967772, -82.4156033)


Florida Clinical Practice Association Inc · Medicare Physician

Name Address Specialty
Adam Katz 1600 Sw Archer Rd, Gainesville, FL 32610-3003 PLASTIC AND RECONSTRUCTIVE SURGERY
Robert Amdur 1600 Sw Archer, Gainesville, FL 32610-3003 RADIATION ONCOLOGY
John Fort 2000 Sw Archer Rd, Gainesville, FL 32610-3003 PEDIATRIC MEDICINE
Julie Rodriguez 1600 Sw Archer Rd Rm, Gainesville, FL 32610-3003 PSYCHIATRY
Paul Castillo Caro 2000 Sw Archer Rd, Gainesville, FL 32610-3003 PEDIATRIC MEDICINE
Arnoldo Gonzalez 2000 Sw Archer Rd, Gainesville, FL 32608-1136 INFECTIOUS DISEASE
Ryan Drumright 1600 Sw Archer Rd Rm, Gainesville, FL 32610-3003 OPHTHALMOLOGY
Natalia Moguillansky 2000 Sw Archer Rd, Gainesville, FL 32608-1136 PULMONARY DISEASE
Juan Vilaro 1600 Sw Archer Rd Rm, Gainesville, FL 32610-3003 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Peggy White 1600 Sw Archer Rd, Gainesville, FL 32610-3003 ANESTHESIOLOGY
David Brenneman 1600 Sw Archer Rd, Gainesville, FL 32610-3003 ANESTHESIOLOGY
Tanya Anim 2000 Sw Archer Rd, Gainesville, FL 32610-3003 FAMILY PRACTICE
Denise Schain 1600 Sw Archer Rd, Gainesville, FL 32610-0296 INFECTIOUS DISEASE
Heather Reed 2000 Sw Archer Rd, Gainesville, FL 32610-3003 ANESTHESIOLOGY
William Miles 1600 Sw Archer Rd, Gainesville, FL 32610-3003 CARDIAC ELECTROPHYSIOLOGY
Judy Lew 1600 Sw Archer Rd, Gainesville, FL 32610-0296 PEDIATRIC MEDICINE
Mark Edmiston 1600 Sw Archer Rd Rm, Gainesville, FL 32610-3003 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Ying Li 1600 Sw Archer, Gainesville, FL 32610-3003 PATHOLOGY
Ronald Berry 1600 Sw Archer Rd Rm, Gainesville, FL 32610-3003 FAMILY PRACTICE
Ku Lang Chang 1600 Sw Archer Rd, Gainesville, FL 32610-0296 FAMILY PRACTICE

Zip 32610 · Geriatric Medicine · Medicare Physician

Name Address Specialty
Bhanuprasad Sandesara 1600 Sw Archer Rd Rm, Gainesville, FL 32610-3003 GERIATRIC MEDICINE
Henrique Kallas 1600 Sw Archer Rd Rm, Gainesville, FL 32610-3003 GERIATRIC MEDICINE
Marcela Avila 1600 Sw Archer, Gainesville, FL 32610-3003 GERIATRIC MEDICINE
Laurence Solberg 1600 Sw Archer Rd Rm, Gainesville, FL 32610-3003 GERIATRIC MEDICINE
John Meuleman 1600 Sw Archer Rd Rm, Gainesville, FL 32610-3003 GERIATRIC MEDICINE
Jacobo Hincapie Echeverri 2000 Sw Archer Rd, Gainesville, FL 32610-3003 GERIATRIC MEDICINE

Zip 32610 · Medicare Physician

Name Address Specialty
Chintan Shah 2000 Sw Archer Rd, Gainesville, FL 32610-3003 HOSPITALIST
Charles Widmer 1600 Sw Archer Rd, Gainesville, FL 32610-3003 ORAL SURGERY
Glenn Ashkanazi 1600 Sw Archer Rd, Gainesville, FL 32610-0166 CLINICAL PSYCHOLOGIST
Hernan Prieto Saavedra 2000 Sw Archer Rd, Gainesville, FL 32610-3003 ORTHOPEDIC SURGERY
Daniel Rivera 1600 Sw Archer Rd, Gainesville, FL 32610-3003 CERTIFIED REGISTERED NURSE ANESTHETIST
Antonella Bianchi 2000 Sw Archer Rd, Gainesville, FL 32610-3003 ENDOCRINOLOGY
Li Wang 2000 Sw Archer Rd, Gainesville, FL 32610-3003 NURSE PRACTITIONER
Kohl Mayberry 1600 Sw Archer, Gainesville, FL 32610-3003 PSYCHIATRY
Jorge Lascano 1600 Sw Archer Rd, Gainesville, FL 32610-0296 CRITICAL CARE (INTENSIVISTS)
William Molinari 2000 Sw Archer Rd, Gainesville, FL 32610-3003 ORTHOPEDIC SURGERY
Bruce Spiess 2000 Sw Archer Rd, Gainesville, FL 32610-3003 ANESTHESIOLOGY
Kathryn Anderson 1600 Sw Archer Rd Rm, Gainesville, FL 32610-3003 PHYSICIAN ASSISTANT
Gary Rexroat 1600 Sw Archer Rd Rm, Gainesville, FL 32610-3003 PHYSICIAN ASSISTANT
Robert Warner 2000 Sw Archer Rd, Gainesville, FL 32610-3003 CERTIFIED REGISTERED NURSE ANESTHETIST
Kartik Singh 1600 Sw Archer Rd Rm, Gainesville, FL 32610-3003 HOSPITALIST
Steven Hughes 1600 Sw Archer Rd Rm, Gainesville, FL 32610-3003 GENERAL SURGERY
Natalie Snodgrass 1600 Sw Archer, Gainesville, FL 32610-3003 PSYCHIATRY
Jennifer Rackley 1600 Sw Archer Rd Rm, Gainesville, FL 32610-3003 NURSE PRACTITIONER
Leonardo Rodriguez 2000 Sw Archer Rd, Gainesville, FL 32610-3003 PSYCHIATRY
Vanessa Hoppner 1600 Sw Archer, Gainesville, FL 32610-3003 PHYSICIAN ASSISTANT