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NPI Code Detail

MEDICARE: DR. MARTIN SOTO JR. M.D.

MEDICARE:  DR. MARTIN  SOTO JR. M.D.
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 PhysicianME90816FL

General Provider Information

NPI Number : 1184615056
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARTIN SOTO JR. M.D.
Provider Business Mailing Address
First Line : 12780 WATERFORD LAKES PKWY STE 120
Second Line :
City : ORLANDO
State : FL
Zip : 32828-4501
Country : US
Telephone Number : 407-384-1053
Fax Number : 407-277-8168
Provider Business Practice Location Address
First Line : 12780 WATERFORD LAKES PKWY STE 120
Second Line :
City : ORLANDO
State : FL
Zip : 32828-4501
Country : US
Telephone Number : 407-384-1053
Fax Number : 407-277-8168
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2005
Last Update Date : 07/31/2020

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Directions to “ DR. MARTIN SOTO JR. M.D.” Practice Location

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