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NPI Code Detail

MEDICARE: LIZBETH SOTO LMT

MEDICARE:   LIZBETH  SOTO  LMT
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
1225700000XMassage TherapistMA61102FL

General Provider Information

NPI Number : 1952663734
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIZBETH SOTO LMT
Provider Business Mailing Address
First Line : 10742 PALAISEAU CT
Second Line :
City : ORLANDO
State : FL
Zip : 32825-7193
Country : US
Telephone Number : 407-928-6102
Fax Number : 407-601-4902
Provider Business Practice Location Address
First Line : 5740 OLD CHENEY HWY
Second Line :
City : ORLANDO
State : FL
Zip : 32807-3525
Country : US
Telephone Number : 407-928-6102
Fax Number : 407-601-4902
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2012
Last Update Date : 06/08/2012

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Directions to “ LIZBETH SOTO LMT” Practice Location

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