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Individual

JOSE M SOTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1422 NW 7TH ST, MIAMI, FL 33125-3700
(305) 555-5555
Mailing address
8451 SW 37TH ST, MIAMI, FL 33155-3207
(786) 375-0776

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA29083
FL

Other

Enumeration date
07/09/2019
Last updated
07/09/2019
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