Provider Demographics
NPI:1336394824
Name:SOSCIA, LOUIS E (MD)
Entity Type:Individual
Prefix:
First Name:LOUIS
Middle Name:E
Last Name:SOSCIA
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 1:6340 WATERCREST WAY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34202-5216
Mailing Address - Country:US
Mailing Address - Phone:941-780-3409
Mailing Address - Fax:941-388-0714
Practice Address - Street 1:6340 WATERCREST WAY
Practice Address - Street 2:SUITE 201
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34202-5216
Practice Address - Country:US
Practice Address - Phone:941-780-3409
Practice Address - Fax:941-388-0714
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-25
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME21968207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD56897Medicare UPIN