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Organization
FREDERICK E. SOTO, JR., O.D., P.A.
Active
Organization
FREDERICK E. SOTO, JR., O.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK E. SOTO JR. O.D. (PRESIDENT)
(941) 953-3111
Entity
Organization
Contact information
Practice address
2650 S TAMIAMI TRL, SARASOTA, FL 34239-4531
(941) 953-3111
(941) 366-5670
Mailing address
2650 S TAMIAMI TRL, SARASOTA, FL 34239-4531
(941) 953-3111
(941) 366-5670
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC-001562
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078090100
—
FL
Enumeration date
03/10/2010
Last updated
07/07/2015
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