MEDICARE: DR. ARMANDO SOTO 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
1	208200000X	Plastic Surgery Physician	ME 96541	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	S186 / 0005	OTHER	MD	BLUECHOICE
2	KG65 / 608907-01	OTHER	MD	BC / BS OF MD

General Provider Information

NPI Number	:	1861448169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARMANDO SOTO MD

Provider Business Mailing Address
First Line	:	7009 DR PHILLIPS BLVD
Second Line	:	SUITE 100
City	:	ORLANDO
State	:	FL
Zip	:	32819-5123
Country	:	US
Telephone Number	:	407-218-4550
Fax Number	:	888-248-9038

Provider Business Practice Location Address
First Line	:	7009 DR PHILLIPS BLVD
Second Line	:	SUITE 100
City	:	ORLANDO
State	:	FL
Zip	:	32819-5123
Country	:	US
Telephone Number	:	407-218-4550
Fax Number	:	888-248-9038

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	03/07/2008

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Directions to “ DR. ARMANDO SOTO MD” Practice Location

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