Individual
DR. LUIS ALBERTO SORO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
350 E LAS OLAS BLVD, SUITE 110, FORT LAUDERDALE, FL 33301-4211
(954) 765-3005
Mailing address
2009 SE 10TH AVE, APT #322, FORT LAUDERDALE, FL 33316-4503
(305) 975-3130
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
OT013899
PA
207NS0135X
Procedural Dermatology Physician
Primary
OS12533
FL
Other
Enumeration date
08/13/2010
Last updated
07/30/2014
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