Healthcare Provider Details

I. General information

NPI: 1861448169
Provider Name (Legal Business Name): ARMANDO SOTO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 03/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7009 DR PHILLIPS BLVD SUITE 100
ORLANDO FL
32819-5123
US

IV. Provider business mailing address

7009 DR PHILLIPS BLVD SUITE 100
ORLANDO FL
32819-5123
US

V. Phone/Fax

Practice location:
  • Phone: 407-218-4550
  • Fax: 888-248-9038
Mailing address:
  • Phone: 407-218-4550
  • Fax: 888-248-9038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberME 96541
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: