Provider Demographics
NPI:1710193032
Name:SOSA, MARIE ANNE (MD)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:ANNE
Last Name:SOSA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1120 NW 14TH ST
Mailing Address - Street 2:SUITE 809
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-2107
Mailing Address - Country:US
Mailing Address - Phone:305-243-3583
Mailing Address - Fax:305-243-3506
Practice Address - Street 1:1120 NW 14TH ST
Practice Address - Street 2:SUITE 809
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-2107
Practice Address - Country:US
Practice Address - Phone:305-243-3583
Practice Address - Fax:305-243-3506
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2022-08-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME128340207R00000X, 207RN0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology