Healthcare Provider Details
I. General information
NPI: 1023942877
Provider Name (Legal Business Name): SOFACARE FLORIDA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9524 JUNIPER MOSS CIR
ORLANDO FL
32832-6370
US
IV. Provider business mailing address
5840 RED BUG LAKE RD STE 10
WINTER SPRINGS FL
32708-5011
US
V. Phone/Fax
- Phone: 321-416-1473
- Fax:
- Phone: 321-416-1473
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
GEORGE
NICHOLAS
AVGEROPOULOS
Title or Position: OWNER
Credential:
Phone: 321-416-1473