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NPI Code Detail

MEDICARE: MR. CHRISTIAN ERIC SOTO M.M., M.A., CCC-SLP

MEDICARE: MR. CHRISTIAN ERIC SOTO M.M., M.A., CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSZ7139FL
2235Z00000XSpeech-Language PathologistSA15234FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093197022
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHRISTIAN ERIC SOTO M.M., M.A., CCC-SLP
Provider Business Mailing Address
First Line : 10850 HEATHER RIDGE CIR APT 108
Second Line :
City : ORLANDO
State : FL
Zip : 32817-3348
Country : US
Telephone Number : 305-305-0926
Fax Number : 305-468-6560
Provider Business Practice Location Address
First Line : 1858 N ALAFAYA TRL STE 207
Second Line :
City : ORLANDO
State : FL
Zip : 32826-4754
Country : US
Telephone Number : 407-900-5313
Fax Number : 888-972-5443
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2015
Last Update Date : 03/17/2018

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Directions to “ MR. CHRISTIAN ERIC SOTO M.M., M.A., CCC-SLP” Practice Location

Language Start Address Practice Location
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