Individual
MR. LUIS D'MONTIQUE SORIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1220 BEL AIRE DR W, PEMBROKE PINES, FL 33027-2220
(786) 316-1211
Mailing address
1220 BEL AIRE DR W, PEMBROKE PINES, FL 33027-2220
(786) 316-1211
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9105637
FL
Other
Enumeration date
09/15/2010
Last updated
09/25/2010
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