Provider Demographics
NPI:1043607161
Name:SOSCIA, MARY LOUIS (ARNP)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:LOUIS
Last Name:SOSCIA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:SOSCIA
Other - Last Name:LYONS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5426 BAY CENTER DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-3444
Mailing Address - Country:US
Mailing Address - Phone:813-569-6500
Mailing Address - Fax:813-864-4030
Practice Address - Street 1:3945 CLARK RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-2364
Practice Address - Country:US
Practice Address - Phone:941-923-2500
Practice Address - Fax:941-923-2520
Is Sole Proprietor?:No
Enumeration Date:2015-04-16
Last Update Date:2015-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9204002363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily