Organization
JORGE A. SOTO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE A SOTO (PRESIDENT)
(305) 796-0582
Entity
Organization
Contact information
Practice address
1470 NW 107TH AVE, SUITE R, DORAL, FL 33172-2744
(305) 796-0582
Mailing address
1470 NW 107TH AVE, SUITE R, DORAL, FL 33172-2744
(305) 796-0582
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH2568
FL
Other
Enumeration date
01/31/2014
Last updated
01/31/2014
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