Individual
MS. JOANN SOEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1717 S ORANGE AVE, SUITE 100, ORLANDO, FL 32806-2944
(407) 650-7000
(407) 650-7124
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP764022
FL
363LP0200X
Pediatric Nurse Practitioner
ARNP764022
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306827700
—
FL
Enumeration date
08/29/2006
Last updated
10/20/2011
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