Individual
PEGGY SOTO-OMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3990 E SR 44 UNIT 207, WILDWOOD, FL 34785-7482
(352) 492-9333
(352) 399-6234
Mailing address
10371 HENBURY ST, ORLANDO, FL 32832-6954
(407) 492-3041
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH31701
FL
Other
Enumeration date
04/24/2019
Last updated
10/27/2020
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