Provider Demographics
NPI:1326342395
Name:SOUTO, ANA C (NP)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:C
Last Name:SOUTO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11886 LAKE UNDERHILL RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-4436
Mailing Address - Country:US
Mailing Address - Phone:407-447-7773
Mailing Address - Fax:407-447-7804
Practice Address - Street 1:11886 LAKE UNDERHILL RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-4436
Practice Address - Country:US
Practice Address - Phone:407-447-7773
Practice Address - Fax:407-447-7804
Is Sole Proprietor?:No
Enumeration Date:2011-01-05
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00306500363LP0200X
FLARNP9367646363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics