Individual
MARIA B. SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1850 SW FOUNTAINVIEW BLVD, SUITE 105, PORT SAINT LUCIE, FL 34986-3443
(772) 336-2818
(772) 336-5313
Mailing address
900 S PINE ISLAND RD, SUITE 800, PLANTATION, FL 33324-3920
(772) 336-2818
(772) 336-5313
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME128936
FL
2080A0000X
Pediatric Adolescent Medicine Physician
229759
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018744100
—
FL
Enumeration date
01/16/2007
Last updated
04/11/2019
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