Healthcare Provider Details

I. General information

NPI: 1245238161
Provider Name (Legal Business Name): MARIA CRISTINA SOTO M.D., FAAP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2005
Last Update Date: 11/24/2021
Certification Date: 11/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6726 HANLEY RD
TAMPA FL
33634-4739
US

IV. Provider business mailing address

1400 NW 107TH AVE STE 500
SWEETWATER FL
33172-2746
US

V. Phone/Fax

Practice location:
  • Phone: 813-284-7903
  • Fax:
Mailing address:
  • Phone: 813-648-6684
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2013-01303
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number150791
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: