Doctor Name: | ADELENE SOTO |
NPI Number: | 1003049990 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP9229185 |
Business Practice Address: | 930 Marcum Rd Lakeland, FL - 338094308 |
Business Phone Number: | 8638153775 |
Business Fax Number: | 8638153765 |
Mailing Address: | 3372 Tumbling River Dr, CLERMONT |
State: | FL |
Postal Code: | 347118907 |
Phone Number: | 4074675947 |
Fax Number: | |
NPI Enumeration Date: | 08/26/2009 |
NPI Last Update Date: | 11/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | ARNP9229185 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |