Individual
MRS. JENNIFER SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP - APRN
Contact information
Practice address
37912 CHURCH AVE, DADE CITY, FL 33525-4207
(352) 518-2000
(352) 567-0218
Mailing address
PO BOX 232, DADE CITY, FL 33526-0232
(352) 518-2000
(352) 567-0218
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AG10230075
FL
Other
Enumeration date
07/07/2022
Last updated
06/07/2024
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