Soto, Maria B.

Soto, Maria B. is an individual health care provider with primary practice located at 1850 Sw Fountainview Blvd Suite 105, Port Saint Lucie FL 34986-3443. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Soto, Maria B. can be contacted via phone (772) 336-2818.

Contact Information

Primary practice address
1850 Sw Fountainview Blvd Suite 105 Port Saint Lucie FL 34986-3443
Phone: (772) 336-2818
Fax: (772) 336-5313
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 229759 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME128936 Florida

Profile Details

NPI number 1952453615
LBN Legal business name Soto, Maria B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Apr 11th, 2019 - about 7 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 1952453615 NPPES
Florida MEDICAID 018744100

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