Healthcare Provider Details

I. General information

NPI: 1790197846
Provider Name (Legal Business Name): LESLIE ANN SOTO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2014
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6850 LAKE NONA BLVD
ORLANDO FL
32827-7408
US

IV. Provider business mailing address

3901 COCONUT PALM DR STE 120
TAMPA FL
33619
US

V. Phone/Fax

Practice location:
  • Phone: 407-266-1106
  • Fax: 407-266-1199
Mailing address:
  • Phone: 407-266-1106
  • Fax: 844-587-4802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME132168
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: