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Organization

SOTO DIAZ PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAYMIELEE SOTO DIAZ PSYD (OWNER)
(787) 642-6147
Entity
Organization

Contact information

Practice address
8207 FOREST CITY RD, ORLANDO, FL 32810-2354
(407) 295-4861
Mailing address
1210 SOLSTICE LOOP, SANFORD, FL 32771-0046
(787) 642-6147

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
09/28/2023
Last updated
09/28/2023
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