MEDICARE: FRANCISCO JAVIER YANEZ SOTO APRN, SA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246ZC0007X	Surgical Assistant	17-459	FL
2	363L00000X	Nurse Practitioner	11040076	FL

General Provider Information

NPI Number	:	1225538978
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCISCO JAVIER YANEZ SOTO APRN, SA-C

Provider Business Mailing Address
First Line	:	584 W PALM AIRE DR
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069-5547
Country	:	US
Telephone Number	:	954-278-4899
Fax Number	:

Provider Business Practice Location Address
First Line	:	584 W PALM AIRE DR
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069-5547
Country	:	US
Telephone Number	:	954-278-4899
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2018
Last Update Date	:	06/24/2025

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