Individual
EDGARDO SOTO DE LA ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4235 KINGS HWY, SUITE 103, PORT CHARLOTTE, FL 33980-8421
(941) 613-1777
(941) 613-1779
Mailing address
4235 KINGS HWY, SUITE 103, PORT CHARLOTTE, FL 33980-8421
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
115041
FL
207RP1001X
Pulmonary Disease Physician
Primary
115041
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009369200
—
FL
01
—
14Q6Z
BCBSFL
FL
Enumeration date
04/27/2009
Last updated
06/27/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us