Provider Demographics
NPI:1255611166
Name:SORO, NADINE GEORGE (DO)
Entity type:Individual
Prefix:DR
First Name:NADINE
Middle Name:GEORGE
Last Name:SORO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6550 N FEDERAL HWY STE 320
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-1400
Mailing Address - Country:US
Mailing Address - Phone:954-500-7546
Mailing Address - Fax:954-491-0562
Practice Address - Street 1:6550 N FEDERAL HWY STE 320
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-1400
Practice Address - Country:US
Practice Address - Phone:954-500-7546
Practice Address - Fax:954-491-0562
Is Sole Proprietor?:No
Enumeration Date:2011-08-23
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS11843207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology