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NPI Code Detail

MEDICARE: MS. JUSTINE LEE SOSCIA APRN

MEDICARE: MS. JUSTINE LEE SOSCIA APRN
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
1363L00000XNurse Practitioner16377CA
2363L00000XNurse PractitionerAPRN3287512FL
3363LA2100XAcute Care Nurse PractitionerARNP3287512FL
4363LA2100XAcute Care Nurse Practitioner16377CA
5363LA2100XAcute Care Nurse PractitionerAPRN3287512FL

General Provider Information

NPI Number : 1609014760
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JUSTINE LEE SOSCIA APRN
Provider Business Mailing Address
First Line : PO BOX 102222
Second Line :
City : ATLANTA
State : GA
Zip : 30368-2222
Country : US
Telephone Number : 239-274-8200
Fax Number :
Provider Business Practice Location Address
First Line : 3630 MANATEE AVE W
Second Line :
City : BRADENTON
State : FL
Zip : 34205-2557
Country : US
Telephone Number : 941-792-1881
Fax Number : 941-795-3924
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2009
Last Update Date : 09/11/2024

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