Healthcare Provider Details

I. General information

NPI: 1740248384
Provider Name (Legal Business Name): JAMES A SOTROP M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 08/31/2021
Certification Date: 08/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19021 N DALE MABRY HWY
LUTZ FL
33548-4982
US

IV. Provider business mailing address

38135 MARKET SQ
ZEPHYRHILLS FL
33542-7505
US

V. Phone/Fax

Practice location:
  • Phone: 813-961-5201
  • Fax: 813-948-8848
Mailing address:
  • Phone: 813-528-4975
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME0041092
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: