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Organization

NORTH BAY MEDICAL ASSOCIATES, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAFAEL A SOTO MD (PRESIDENT)
(305) 672-7635
Entity
Organization

Contact information

Practice address
940 NE 79TH ST, MIAMI, FL 33138-4716
(305) 672-7635
(305) 672-6201
Mailing address
940 NE 79TH ST, MIAMI, FL 33138-4716
(305) 672-7635
(305) 672-6201

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
ME26369
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1215948674
INDIVIDUAL NPI
FL
Enumeration date
08/06/2012
Last updated
09/09/2015
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