Organization
FREDERICK E. SOTO, JR., O.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. 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
332H00000X
Eyewear Supplier
Primary
OPC-001562
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0495470001
CIGNA GOVERNMENT SERVICES
FL
01
—
T84115
CIGNA HEALTHCARE OF FLORIDA
—
Enumeration date
04/24/2008
Last updated
11/30/2009
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