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Individual

JORGE LUIS SOTELO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3501 JOHNSON ST FL 2, HOLLYWOOD, FL 33021-5421
(954) 265-5665
(954) 895-1578
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME89636
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
279636800
FL
Enumeration date
06/03/2006
Last updated
03/15/2021
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