Individual ProviderLisa Christine OteroNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address414 Fieldstream North Blvd, Orlando, FL 32825-4859(407) 340-0450PECOS EnrollmentBased on the most recent information from CMS, provider Lisa Christine Otero does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:51 AM.Profile DetailsProvider ID1598531212Provider TypeIndividualFull NameOtero, Lisa ChristineCredentialAPRNGenderFemaleSole ProprietorYesEnumeration Date12/4/2023Last Updated12/4/2023Contact InformationPractice LocationPractice Address414 Fieldstream North Blvd, Orlando, FL 32825-4859Phone(407) 340-0450FaxUnlisted FaxMailing LocationMailing Address414 Fieldstream North Blvd, Orlando, FL 32825-4859Phone(407) 340-0450FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense11027119Florida