Provider Demographics
NPI:1982635389
Name:VOCATUS MEDICAL MANAGEMENT SERVICES
Entity Type:Organization
Organization Name:VOCATUS MEDICAL MANAGEMENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:D
Authorized Official - Last Name:OTTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-598-3920
Mailing Address - Street 1:PO BOX 8523
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34101-8523
Mailing Address - Country:US
Mailing Address - Phone:239-598-9327
Mailing Address - Fax:
Practice Address - Street 1:4513 EXECUTIVE DRIVE
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119
Practice Address - Country:US
Practice Address - Phone:239-598-9327
Practice Address - Fax:239-598-9384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL94847OtherBCBS
FLK7514Medicare ID - Type Unspecified