Individual
JOHAN SOTO BERRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1935 DON WICKHAM DR, CLERMONT, FL 34711-1915
(352) 386-7600
Mailing address
10530 FIESTA ST, CLERMONT, FL 34711-7364
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT000638
FL
Other
Enumeration date
02/19/2026
Last updated
02/19/2026
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