Provider Demographics
NPI:1780020768
Name:OTERO, FRANZA JOY (LPN)
Entity Type:Individual
Prefix:
First Name:FRANZA
Middle Name:JOY
Last Name:OTERO
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2965 ROLLING HILLS LN
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-6479
Mailing Address - Country:US
Mailing Address - Phone:407-453-1100
Mailing Address - Fax:
Practice Address - Street 1:2965 ROLLING HILLS LN
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32712-6479
Practice Address - Country:US
Practice Address - Phone:407-453-1100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-16
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5205341164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse