Provider Demographics
NPI:1821300435
Name:LAURA ELENA SOTO DO PLLC
Entity Type:Organization
Organization Name:LAURA ELENA SOTO DO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:ELENA
Authorized Official - Last Name:SOTO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:305-858-1944
Mailing Address - Street 1:351 NW 42ND AVE
Mailing Address - Street 2:SUITE 408
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-5683
Mailing Address - Country:US
Mailing Address - Phone:305-858-1944
Mailing Address - Fax:305-444-7342
Practice Address - Street 1:351 NW 42ND AVE
Practice Address - Street 2:SUITE 408
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-5683
Practice Address - Country:US
Practice Address - Phone:305-858-1944
Practice Address - Fax:305-444-7342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-12
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS10883207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty