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NPI Code Detail

MEDICARE: NOMAR JARET SOTO MAYSONET PHARMD

MEDICARE: NOMAR JARET SOTO MAYSONET PHARMD
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
1183500000XPharmacistPS65167FL

General Provider Information

NPI Number : 1932811338
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOMAR JARET SOTO MAYSONET PHARMD
Provider Business Mailing Address
First Line : 4402 CURRY FORD RD
Second Line :
City : ORLANDO
State : FL
Zip : 32812-2709
Country : US
Telephone Number : 407-282-7997
Fax Number :
Provider Business Practice Location Address
First Line : 4402 CURRY FORD RD
Second Line :
City : ORLANDO
State : FL
Zip : 32812-2709
Country : US
Telephone Number : 407-282-7997
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2022
Last Update Date : 12/16/2022

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