Organization
FREDERICK E. SOTO, JR., O.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK E. SOTO JR. O.D. (PRESIDENT)
(941) 953-3111
Entity
Organization
Contact information
Practice address
2650 S TAMIAMI TRL, SARASOTA, FL 34239-4531
(941) 953-3111
(941) 366-5670
Mailing address
2650 S TAMIAMI TRL, SARASOTA, FL 34239-4531
(941) 953-3111
(941) 366-5670
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC-001562
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078090100
—
FL
Enumeration date
03/10/2010
Last updated
07/07/2015
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