Patrick T Ottuso M D F a a D P a

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME62353 Issued in FL

Legal business name

PATRICK T OTTUSO M D F A A D P A

Practice address

1955 22ND Avenue
Vero Beach, FL 32960

Phone

(772) 299-0085

Fax

(772) 978-4193

NPI assigned

Jul 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Patrick Thomas Ottuso, MD

Title

President

Phone

(772) 299-0085

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• vero beach dermatology Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1124047048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 22ND AVENUE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32960",
            "telephone_number": "772-299-0085",
            "fax_number": "772-978-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 22ND AVENUE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32960",
            "telephone_number": "772-299-0085",
            "fax_number": "772-978-4193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK T OTTUSO M D F A A D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "OTTUSO",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-299-0085",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME62353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME62353",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "vero beach dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Miteshkumar Patel, PT
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• Miltoria Patterson, LPN
• Brianna Patton
• Cathy Patton
• Paul H Skaggs MD PA

• Dermatology Physician in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.