Individual
POOJA SOFAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11215 METRO PKWY STE 100, FORT MYERS, FL 33966-1206
(239) 208-2212
Mailing address
77 GOODELL ST, BUFFALO, NY 14203-1243
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
272909
MA
2084N0400X
Neurology Physician
284390
NY
2084N0400X
Neurology Physician
35.152071
OH
2084N0400X
Neurology Physician
Primary
ME170989
FL
390200000X
Student in an Organized Health Care Education/Training Program
N/A
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110067767A
—
MA
Enumeration date
09/02/2010
Last updated
10/31/2024
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