Individual
JUAN CARLOS MATOS SOTOLONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
6844 CAVACADE DR APT 44-T, TAMPA, FL 33614-4517
(813) 378-2972
Mailing address
6844 CAVACADE DR APT 44-T, TAMPA, FL 33614-4517
(813) 378-2972
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
24-175
FL
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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