Organization
PEDSCARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA CRISTINA SOTO MD FAAP (PRESIDENT)
(352) 742-2585
Entity
Organization
Contact information
Practice address
1801 SALK AVE, TAVARES, FL 32778-4311
(352) 742-2585
(352) 742-0724
Mailing address
1801 SALK AVE, TAVARES, FL 32778-4311
(352) 742-2585
(352) 742-0724
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME75364
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43563
BCBS OF FL
FL
Enumeration date
10/18/2006
Last updated
01/06/2012
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