Individual
MICHAEL SORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4004 N RIVERSIDE DR, TAMPA, FL 33603-3212
(813) 296-8300
(813) 441-7669
Mailing address
PO BOX 8405, TAMPA, FL 33674-8405
(813) 220-7594
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME85141
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34204200
—
WI
Enumeration date
12/23/2005
Last updated
10/27/2023
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