Individual
EDUARDO M SOTOMAYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12902 USF MAGNOLIA DR, MDC 44, TAMPA, FL 33612-9416
(813) 745-3980
(813) 745-7264
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
ME80776
FL
207RX0202X
Medical Oncology Physician
Primary
ME80776
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256532300
—
FL
01
—
46646
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/30/2006
Last updated
10/04/2021
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