Individual
SARAH DE SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4121 US HIGHWAY 98 N, LAKELAND, FL 33809-3818
(863) 859-7100
Mailing address
PO BOX 93631, LAKELAND, FL 33804-3631
(863) 651-8834
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6125
FL
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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