Organization
FLAVIA SOTO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLAVIA SOTO MD (OWNER)
(941) 584-3377
Entity
Organization
Contact information
Practice address
1370 E VENICE AVE STE 208, VENICE, FL 34285-9084
(941) 209-4646
(941) 445-4152
Mailing address
1370 E VENICE AVE STE 208, VENICE, FL 34285-9084
(941) 584-3377
(941) 445-4152
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME149730
MEDICAL LICENSE
FL
Enumeration date
04/27/2021
Last updated
10/05/2021
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