Individual
ELIZABETH GRACE SOTOLONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5021 W 6TH AVE, HIALEAH, FL 33012-3833
(305) 558-1203
(305) 558-1213
Mailing address
6100 E 2ND AVE, HIALEAH, FL 33013-1009
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA31054
FL
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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