Provider Demographics
NPI:1508418153
Name:ROTTA, FRANCISCO TELLECHEA (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:TELLECHEA
Last Name:ROTTA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2881 HYDE PARK ST
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-3228
Mailing Address - Country:US
Mailing Address - Phone:941-906-7155
Mailing Address - Fax:941-330-2905
Practice Address - Street 1:11715 RANGELAND PKWY
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34211-9529
Practice Address - Country:US
Practice Address - Phone:941-538-0088
Practice Address - Fax:941-538-0089
Is Sole Proprietor?:No
Enumeration Date:2019-07-14
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME139605204R00000X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No204R00000XAllopathic & Osteopathic PhysiciansElectrodiagnostic Medicine