Individual
DR. MARIA GAVANCHO SOTOMAYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3622 MADACA LN, TAMPA, FL 33618-2057
(813) 513-3643
(813) 605-5465
Mailing address
4919 MEMORIAL HWY STE 150, TAMPA, FL 33634-7516
(813) 333-1512
(813) 333-1561
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME94010
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110175900
—
FL
Enumeration date
02/17/2006
Last updated
03/30/2022
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