Individual
DR. HERNANDO DE SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
655 W 8TH ST, UFJP ANESTHESIA DEPT, JACKSONVILLE, FL 32209-6511
(904) 244-5431
(904) 244-4908
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3660
(904) 244-3425
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME52994
FL
Other
Enumeration date
03/23/2006
Last updated
12/02/2007
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