Organization
SOTERIA MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY KENT RAINES MD, PHD (PRESIDENT AND CEO)
(305) 595-4447
Entity
Organization
Contact information
Practice address
9150 SW 87TH AVE, SUITE 213, MIAMI, FL 33176-2319
(305) 595-4447
(305) 248-6320
Mailing address
9150 SW 87TH AVE, SUITE 213, MIAMI, FL 33176-2319
(305) 595-4447
(305) 248-6320
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
10D2086850
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D2086850
CLIA
FL
Enumeration date
04/17/2015
Last updated
04/17/2015
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