Provider Demographics
NPI:1932811338
Name:SOTO MAYSONET, NOMAR JARET (PHARMD)
Entity Type:Individual
Prefix:
First Name:NOMAR
Middle Name:JARET
Last Name:SOTO MAYSONET
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4402 CURRY FORD RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32812-2709
Mailing Address - Country:US
Mailing Address - Phone:407-282-7997
Mailing Address - Fax:
Practice Address - Street 1:4402 CURRY FORD RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32812-2709
Practice Address - Country:US
Practice Address - Phone:407-282-7997
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-16
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS65167183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist