Organization
MARIA C SOTO-AGUILAR M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA C SOTO-AGUILAR MD (OWNER)
(727) 697-2150
Entity
Organization
Contact information
Practice address
14153 YOSEMITE DR, SUITE 201, HUDSON, FL 34667-8060
(727) 697-2150
(727) 863-4757
Mailing address
14153 YOSEMITE DR, SUITE 201, HUDSON, FL 34667-8060
(727) 697-2150
(727) 863-4757
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
ME79740
FL
207RR0500X
Rheumatology Physician
ME79740
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259231200
—
FL
01
—
280536
AVMED
FL
01
—
49628
BLUECROSS BLUE SHIELD FL
FL
01
—
7049127
AETNA
FL
01
—
9255006-001
CIGNA
FL
Enumeration date
12/20/2006
Last updated
12/15/2010
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