Individual
STEFANIE SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
313 S LAKEWOOD DR, BRANDON, FL 33511-2815
(813) 280-4328
Mailing address
530 S LAKE DR, LANTANA, FL 33462-3229
(561) 672-9791
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9109569
FL
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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