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General NPI Number Information
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NPI Number | 1912912536
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Entity Type | Individual
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Provider Name | EDUARDO M SOTOMAYOR MD
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Gender | Male
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 10/04/2021
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Provider Practice Location Address
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Address Line | 12902 USF MAGNOLIA DR MDC 44
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City | TAMPA
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State | FL
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Zip | 33612-9416
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Country | US
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Telephone | 813-745-3980
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Fax | 813-745-7264
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Provider Business Mailing Address
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Address Line | PO BOX 917770
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City | ORLANDO
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State | FL
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Zip | 32891-7770
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | ME80776
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | ME80776
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License Number State | FL
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