Organization
DR. MARY SOHA, M.D.,INC.
Active
Other names
Dr. Mary's Place
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY E SOHA M.D. (PRESIDENT)
(904) 393-4700
Entity
Organization
Contact information
Practice address
4051 ATLANTIC BLVD, JACKSONVILLE, FL 32207-2036
(904) 393-4700
(904) 493-9700
Mailing address
4051 ATLANTIC BLVD, JACKSONVILLE, FL 32207-2036
(904) 393-4700
(904) 493-9700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME56953
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055661101
—
FL
Enumeration date
07/06/2009
Last updated
07/06/2009
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