Provider Demographics
NPI:1356894471
Name:WILLIAMS SOTO, KARIE ANNETTE
Entity type:Individual
Prefix:MRS
First Name:KARIE
Middle Name:ANNETTE
Last Name:WILLIAMS SOTO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5146 SW 90TH AVE
Mailing Address - Street 2:
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33328-3625
Mailing Address - Country:US
Mailing Address - Phone:954-680-7846
Mailing Address - Fax:
Practice Address - Street 1:5146 SW 90TH AVE
Practice Address - Street 2:
Practice Address - City:COOPER CITY
Practice Address - State:FL
Practice Address - Zip Code:33328-3625
Practice Address - Country:US
Practice Address - Phone:954-680-7846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-25
Last Update Date:2016-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
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