Provider Demographics
NPI:1740422872
Name:SOAITA, MARIA MANUELA (MD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:MANUELA
Last Name:SOAITA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 377
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34995-0377
Mailing Address - Country:US
Mailing Address - Phone:561-263-4487
Mailing Address - Fax:561-263-5028
Practice Address - Street 1:11883 LAKESHORE PL
Practice Address - Street 2:
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-3201
Practice Address - Country:US
Practice Address - Phone:786-553-0240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-06
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL103294207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology