Provider Demographics
NPI:1861448169
Name:SOTO, ARMANDO (MD)
Entity Type:Individual
Prefix:DR
First Name:ARMANDO
Middle Name:
Last Name:SOTO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7009 DR PHILLIPS BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-5123
Mailing Address - Country:US
Mailing Address - Phone:407-218-4550
Mailing Address - Fax:888-248-9038
Practice Address - Street 1:7009 DR PHILLIPS BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-5123
Practice Address - Country:US
Practice Address - Phone:407-218-4550
Practice Address - Fax:888-248-9038
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-26
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 96541208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDS186 / 0005OtherBLUECHOICE
MDKG65 / 608907-01OtherBC / BS OF MD
H23649Medicare UPIN
MDKG65 / 608907-01OtherBC / BS OF MD