Individual
MR. JORGE LUIS SOTOMAYOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
3210 W COLUMBUS DR, SUITE B, TAMPA, FL 33607-1816
(813) 443-0588
(813) 443-4722
Mailing address
3210 W COLUMBUS DR, SUITE B, TAMPA, FL 33607-1816
(813) 443-0588
(813) 443-4722
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 66681
FL
Other
Enumeration date
01/21/2012
Last updated
01/21/2012
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