Individual
LIZEIDA SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
119 N MARKET ST, BUSHNELL, FL 33513-6107
(352) 793-4126
Mailing address
11466 CR 675W, WEBSTER, FL 33597-7610
(813) 445-1235
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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