Healthcare Provider Details

I. General information

NPI: 1134363542
Provider Name (Legal Business Name): JULIET SOSCIA COLLINS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIET L SOSCIA M.D.

II. Dates (important events)

Enumeration Date: 04/29/2009
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 PASADENA AVE S
ST PETERSBURG FL
33707-2101
US

IV. Provider business mailing address

1800 DR MARTIN LUTHER KING JR ST N
ST PETERSBURG FL
33704-4222
US

V. Phone/Fax

Practice location:
  • Phone: 727-345-2212
  • Fax:
Mailing address:
  • Phone: 727-865-4288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME102184
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: