Individual
MRS. ILEANA CARIDAD SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3289 SW 175TH AVE, MIRAMAR, FL 33029-5584
(954) 443-6010
(786) 513-4630
Mailing address
3289 SW 175TH AVE, MIRAMAR, FL 33029-5584
(954) 443-6010
(786) 513-4630
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
PS0025220
FL
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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