Individual
HENRY SOTOMAYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7310 COLLEGE PKWY, FORT MYERS, FL 33907-5503
(239) 768-6100
(239) 561-3763
Mailing address
151 SOUTHHALL LN, SUITE 300, MAITLAND, FL 32751-7176
(407) 875-2080
(407) 650-3455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9109743
FL
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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