Provider Demographics
NPI:1184878076
Name:SORIANO, ZONNEECEL BAUTISTA (PT)
Entity type:Individual
Prefix:
First Name:ZONNEECEL
Middle Name:BAUTISTA
Last Name:SORIANO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7919 OAK RUN CIR
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33809-7253
Mailing Address - Country:US
Mailing Address - Phone:863-670-6830
Mailing Address - Fax:
Practice Address - Street 1:7919 OAK RUN CIR
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33809-7253
Practice Address - Country:US
Practice Address - Phone:863-670-6830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-05
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist