Individual
VANESSA PEREZ SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
643 TUTEN TRL, ORLANDO, FL 32828-8368
(407) 279-6954
Mailing address
643 TUTEN TRL, ORLANDO, FL 32828-8368
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
1495
FL
363AM0700X
Medical Physician Assistant
Primary
942
PR
Other
Enumeration date
03/16/2021
Last updated
04/07/2021
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