Provider Demographics
NPI:1740248384
Name:SOTROP, JAMES A (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:A
Last Name:SOTROP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:38135 MARKET SQ
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33542-7505
Mailing Address - Country:US
Mailing Address - Phone:813-528-4975
Mailing Address - Fax:
Practice Address - Street 1:19021 N DALE MABRY HWY
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33548-4982
Practice Address - Country:US
Practice Address - Phone:813-961-5201
Practice Address - Fax:813-948-8848
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0041092207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP01656738OtherR&R MEDICARE
FLP01656738OtherR&R MEDICARE
FL30592WMedicare PIN