Mallory B Otto Geriatric Medicine
1600 Sw Archer Rd Rm, 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 1600 Sw Archer Rd Rm, Gainesville, FL 32610-3003. The zip code is 32610.


Mallory B Otto · 1600 Sw Archer Rd Rm, 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 3522650535
Group Practice PAC ID 0345146254
Number of Group Practice Members 1001
Address 1600 SW ARCHER RD RM
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: 1600
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 : doctor, establishment, health, point_of_interest
latitude: 29.6396738
longitude: -82.3442377
latlng: (29.6396738, -82.3442377)


Florida Clinical Practice Association Inc · Medicare Physician

Name Address Specialty
Akaluck Thatayatikom 2000 Sw Archer Rd, Gainesville, FL 32610-3003 PEDIATRIC MEDICINE
Jill Sutton 1600 Sw Archer, Gainesville, FL 32610-3003 CLINICAL PSYCHOLOGIST
Vladimir Vincek 2000 Sw Archer Rd, Gainesville, FL 32610-3003 PATHOLOGY
Michael Dennis 1600 Sw Archer Rd Rm, Gainesville, FL 32610-3003 UROLOGY
Sohit Khanna 1600 Sw Archer Rd, Gainesville, FL 32610-3003 THORACIC SURGERY
Tiffany Sarduy 1600 Sw Archer, Gainesville, FL 32610-3003 PHYSICIAN ASSISTANT
Zareen Zaidi 2000 Sw Archer Rd, Gainesville, FL 32610-3003 INTERNAL MEDICINE
Bruce Spiess 2000 Sw Archer Rd, Gainesville, FL 32610-3003 ANESTHESIOLOGY
Richard Holbert 2000 Sw Archer Rd, Gainesville, FL 32610-3003 PSYCHIATRY
David Hernandez Gonzalo 1600 Sw Archer Rd Rm, Gainesville, FL 32610-3003 PATHOLOGY
Patricia Shambaugh 1600 Sw Archer Rd Rm, Gainesville, FL 32610-3003 PHYSICIAN ASSISTANT
Peter Drew 1600 Sw Archer Rd, Gainesville, FL 32610-3003 PATHOLOGY
William Fox 1600 Sw Archer Rd Rm, Gainesville, FL 32610-3003 NEUROSURGERY
John Fort 2000 Sw Archer Rd, Gainesville, FL 32610-3003 PEDIATRIC MEDICINE
David Corda 2000 Sw Archer Rd, Gainesville, FL 32610-3003 ANESTHESIOLOGY
Cheryl Mcginnis 1600 Sw Archer Rd, Gainesville, FL 32610-3003 NURSE PRACTITIONER
William Slayton 1600 Sw Archer Rd, Gainesville, FL 32610-0296 PEDIATRIC MEDICINE
Nandakumar Nagaraja 1600 Sw Archer Rd, Gainesville, FL 32610-3003 NEUROLOGY
Ivan Davis 1600 Sw Archer, Gainesville, FL 32610-3003 DIAGNOSTIC RADIOLOGY
Kairav Shah 2000 Sw Archer Rd, Gainesville, FL 32610-3003 INFECTIOUS DISEASE

Zip 32610 · Geriatric Medicine · Medicare Physician

Name Address Specialty
Marcela Avila 1600 Sw Archer, Gainesville, FL 32610-3003 GERIATRIC MEDICINE
Jacobo Hincapie Echeverri 2000 Sw Archer Rd, 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
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

Zip 32610 · Medicare Physician

Name Address Specialty
Michael Lauzardo 2000 Sw Archer Rd, Gainesville, FL 32610-3003 GENERAL PRACTICE
Gregory Janelle 1600 Sw Archer Rd Rm, Gainesville, FL 32610-3003 ANESTHESIOLOGY
Desiree Machado 1600 Sw Archer Rd Rm, Gainesville, FL 32610-3003 PEDIATRIC MEDICINE
Lorent Duce 1600 Sw Archer Rd, Gainesville, FL 32610-3003 ANESTHESIOLOGY
Philippa Bright 1600 Sw Archer, Gainesville, FL 32610-3003 FAMILY PRACTICE
Mehmet Genc 1600 Sw Archer, Gainesville, FL 32610-3003 OBSTETRICS/GYNECOLOGY
Lawrence Yeung 2000 Sw Archer Rd, Gainesville, FL 32610-3003 UROLOGY
Chad Rhoden 1600 Sw Archer Rd Rm, Gainesville, FL 32610-3003 NURSE PRACTITIONER
Samantha Holtzman 1600 Sw Archer Rd Rm, Gainesville, FL 32610-3003 PHYSICIAN ASSISTANT
Mohammad Ebraheem 2000 Sw Archer Rd, Gainesville, FL 32610-3003 PEDIATRIC MEDICINE
Michael Moser 1600 Sw Archer, Gainesville, FL 32610-3003 ORTHOPEDIC SURGERY
Jessica Koffman 2000 Sw Archer Rd, Gainesville, FL 32610-3003 PHYSICIAN ASSISTANT
David Simpson 1600 Sw Archer Rd Rm, Gainesville, FL 32610-3003 ANESTHESIOLOGY
Joseph Pelletier 2000 Sw Archer Rd, Gainesville, FL 32610-3003 PATHOLOGY
Bhanuprasad Sandesara 1600 Sw Archer Rd Rm, Gainesville, FL 32610-3003 GERIATRIC MEDICINE
Robert Tabb 1600 Sw Archer Rd Rm, Gainesville, FL 32610-3003 CERTIFIED REGISTERED NURSE ANESTHETIST
Joann Newmons 1600 Sw Archer Rd Rm, Gainesville, FL 32610-3003 NURSE PRACTITIONER
Marcus Muehlbauer 1600 Sw Archer Rd Rm, Gainesville, FL 32610-3003 GASTROENTEROLOGY
Li Wang 2000 Sw Archer Rd, Gainesville, FL 32610-3003 NURSE PRACTITIONER
Teddy Youn 2000 Sw Archer Rd, Gainesville, FL 32610-3003 NEUROLOGY