Soto De La Rosa, Edgardo

Soto De La Rosa, Edgardo is an sole proprietor health care provider with primary practice located at 4235 Kings Hwy Suite 103, Port Charlotte FL 33980-8421. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Soto De La Rosa, Edgardo can be contacted via phone (941) 613-1777.

Contact Information

Primary practice address
4235 Kings Hwy Suite 103 Port Charlotte FL 33980-8421
Phone: (941) 613-1777
Fax: (941) 613-1779
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 115041 Florida
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 115041 Florida

Profile Details

NPI number 1801030408
LBN Legal business name Soto De La Rosa, Edgardo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2009
Last updated Jun 27th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801030408 NPPES
Florida MEDICAID 009369200
Florida Other 14Q6Z

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