MR. Matthew Mikio Ota, PA-C

NPI #1588844351 in Ocala, Florida

Provider Information

NPI Number: 1588844351
Entity Type: Individual
Name: MR. Matthew Mikio Ota, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 9, 2007
Last Updated: Nov 19, 2019

Practice Location

Address: 2135 SW 19TH AVENUE RD STE 103
City: Ocala
State: Florida
ZIP Code: 34471-7877
Phone: (352) 237-4133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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