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NPI Code Detail

MEDICARE: LAUREL ANNE SOFER MD.

MEDICARE: LAUREL ANNE SOFER 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
1208800000XUrology PhysicianME143182FL

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 : 1326456674
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREL ANNE SOFER MD.
Provider Business Mailing Address
First Line : 3700N LAKE SHORE DR 124
Second Line :
City : CHICAGO
State : IL
Zip : 60613-4200
Country : US
Telephone Number : 914-907-5158
Fax Number :
Provider Business Practice Location Address
First Line : 5850 CORAL RIDGE DR STE 106
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33076-3379
Country : US
Telephone Number : 954-714-8200
Fax Number : 954-840-2626
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2014
Last Update Date : 07/10/2020

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Directions to “ LAUREL ANNE SOFER MD.” Practice Location

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