MEDICARE: LANA L. SOYLU M.D.

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	208000000X	Pediatrics Physician	ME87695	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235184862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LANA L. SOYLU M.D.

Provider Business Mailing Address
First Line	:	4310 S WEST SHORE BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33611-2020
Country	:	US
Telephone Number	:	813-328-2838
Fax Number	:	813-726-5704

Provider Business Practice Location Address
First Line	:	2835 W DE LEON ST STE 102
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-4130
Country	:	US
Telephone Number	:	813-328-2838
Fax Number	:	813-726-5704

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

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	01/12/2026

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Directions to “ LANA L. SOYLU M.D.” Practice Location

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