Individual
KYOKO SOEJIMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 325-5511
Mailing address
1500 NW 12TH AVE, JMT-EAST 1007, MIAMI, FL 33136-1028
(305) 243-4664
(305) 243-9927
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MFC 1635
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000370200
—
FL
Enumeration date
08/22/2008
Last updated
01/13/2009
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