Individual
ENRICO OLIVEIRA SOUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9195 SW 72 ST, SUITE 200, MIAMI, FL 33173
(305) 243-8644
(305) 243-9927
Mailing address
5101 SW 8ST, SUITE 200, CORAL GABLES, FL 33134
(305) 359-5037
(786) 509-5544
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME111338
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2120399
—
MA
01
—
J40389
BLUE CROSS
MA
Enumeration date
01/07/2006
Last updated
11/22/2023
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