Individual
DR. CARLOS M SOTOLONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1320 ROBERTS DR STE 101, JACKSONVILLE BEACH, FL 32250-3253
(904) 241-7147
(904) 376-3213
Mailing address
PO BOX 746652, ATLANTA, GA 30374-6652
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME70357
FL
207UN0901X
Nuclear Cardiology Physician
ME70357
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379608600
—
FL
01
—
P00188533
RAILROAD MEDICARE
FL
Enumeration date
08/15/2005
Last updated
01/02/2026
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