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NPI Code Detail

MEDICARE: GIL MANUEL NARVAEZ-SOTO M.D.

MEDICARE: GIL MANUEL NARVAEZ-SOTO 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
12085R0202XDiagnostic Radiology Physician43039CO
22085R0202XDiagnostic Radiology PhysicianME94244FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1145Q2OTHERFLBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285610923
Entity Type Code : Individual
Provider Name (Legal Business Name) : GIL MANUEL NARVAEZ-SOTO M.D.
Provider Business Mailing Address
First Line : PO BOX 403444
Second Line :
City : ATLANTA
State : GA
Zip : 30384-3444
Country : US
Telephone Number : 727-793-9300
Fax Number : 727-793-0194
Provider Business Practice Location Address
First Line : 4516 N ARMENIA AVE
Second Line :
City : TAMPA
State : FL
Zip : 33603-2732
Country : US
Telephone Number : 813-348-6900
Fax Number : 813-348-6998
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2005
Last Update Date : 10/22/2013

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