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Organization
SONI FAMILY PRACTICE, PLLC
Active
Organization
SONI FAMILY PRACTICE, PLLC
Active
Parent organization
SONI FAMILY PRACTICE, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SONI FAMILY PRACTICE, PLLC
Authorized official
RYAN WASSON (CREDENTIALING MANAGER)
(407) 214-9290
Entity
Organization
Contact information
Practice address
30 W BAY ST, STE 101, DAVENPORT, FL 33837-4163
(863) 588-4775
Mailing address
PO BOX 878, DAVENPORT, FL 33836-0878
(689) 223-3898
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/19/2026
Last updated
08/19/2026
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