Individual
DR. JULIO C. SOTOLONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1875 BOGGY CREEK RD, KISSIMMEE, FL 34744-4428
(407) 343-2000
(407) 343-2044
Mailing address
1875 BOGGY CREEK RD, KISSIMMEE, FL 34744-4428
(407) 343-2000
(407) 343-2044
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
ME69384
FL
208D00000X
General Practice Physician
ME69384
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280691600
—
FL
Enumeration date
12/28/2007
Last updated
10/01/2012
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