Individual
DR. GERARDO SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3917 TWILIGHT AVE, ENID, OK 73703-3614
(580) 484-2965
Mailing address
212 S FLORIDA ST, BUSHNELL, FL 33513-6703
(352) 793-2441
(352) 793-3282
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
18678
PR
208D00000X
General Practice Physician
ACN943
FL
Other
Enumeration date
05/02/2011
Last updated
10/10/2017
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