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NPI Code Detail

MEDICARE: DR. AMBICA SONI MD

MEDICARE:  DR. AMBICA  SONI  MD
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
1207Q00000XFamily Medicine Physician247497MA
2390200000XStudent in an Organized Health Care Education/Training Program
3207Q00000XFamily Medicine PhysicianME115157FL

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 : 1114191079
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMBICA SONI MD
Provider Business Mailing Address
First Line : PO BOX 878
Second Line :
City : DAVENPORT
State : FL
Zip : 33836-0878
Country : US
Telephone Number : 689-223-3898
Fax Number : 689-223-3898
Provider Business Practice Location Address
First Line : 106 PARK PLACE BLVD STE C
Second Line :
City : DAVENPORT
State : FL
Zip : 33837-6868
Country : US
Telephone Number : 863-588-4775
Fax Number : 863-422-7664
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2008
Last Update Date : 08/27/2024

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Directions to “ DR. AMBICA SONI MD” Practice Location

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