Individual
BRIAN JAMES SORACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9110 COLLEGE POINTE CT, FORT MYERS, FL 33919-3244
(239) 208-2206
Mailing address
9110 COLLEGE POINTE CT, FORT MYERS, FL 33919-3244
(239) 208-2206
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
20910
NH
2084N0400X
Neurology Physician
87250
GA
2084N0400X
Neurology Physician
89141
MT
2084N0400X
Neurology Physician
Primary
A159642
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3125581
—
NH
Enumeration date
04/13/2015
Last updated
02/02/2022
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