Healthcare Provider Details

I. General information

NPI: 1396744272
Provider Name (Legal Business Name): MANUEL J SONE DPM PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2005
Last Update Date: 09/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 E 25TH ST SUITE 302
HIALEAH FL
33013-3825
US

IV. Provider business mailing address

9831 NW 58TH ST SUITE # 127
DORAL FL
33178-2713
US

V. Phone/Fax

Practice location:
  • Phone: 305-696-3444
  • Fax:
Mailing address:
  • Phone: 305-221-6862
  • Fax: 305-221-2033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO2282
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: