Individual
CINDY SUE SOTO SHAVOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13330 USF LAUREL DR, TAMPA, FL 33612-6601
(813) 821-8038
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME133356
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116046700
—
FL
Enumeration date
04/01/2016
Last updated
01/09/2023
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