Dr Hector Rene Soto-adames, MD | |
5564 E Grant St, Orlando, FL 32822-1666 | |
(321) 235-6230 | |
(321) 235-6246 |
Full Name | Dr Hector Rene Soto-adames |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 5564 E Grant St, Orlando, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992881049 | NPI | - | NPPES |
017632400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 16672 (Puerto Rico) | Secondary |
208D00000X | General Practice | ME136067 (Florida) | Primary |
208D00000X | General Practice | ACN442 (Florida) | Secondary |
Entity Name | Health Holdings Company Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336583707 PECOS PAC ID: 8224323050 Enrollment ID: O20160818001144 |
Entity Name | Palm Medical Center Lakeland, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437650579 PECOS PAC ID: 9830431188 Enrollment ID: O20190507000857 |
Mailing Address | Practice Location Address |
---|---|
Dr Hector Rene Soto-adames, MD 950 1st St S, Winter Haven, FL 33880-3665 Ph: (321) 235-6230 | Dr Hector Rene Soto-adames, MD 5564 E Grant St, Orlando, FL 32822-1666 Ph: (321) 235-6230 |
Baha Aldeen Bani Fawwaz, MBBS General Practice Medicare: Medicare Enrolled Practice Location: 2501 N Orange Ave Ste 235, Orlando, FL 32804 Phone: 407-303-7270 | |
Dr. Nhung Thi Tran, M.D General Practice Medicare: Not Enrolled in Medicare Practice Location: 4000 Central Florida Blvd, Orlando, FL 32816 Phone: 407-823-2098 Fax: 407-823-6932 | |
Dr. Marcos Antonio Rivera Roman, MD General Practice Medicare: Medicare Enrolled Practice Location: 1130 S Semoran Blvd Ste Bandc, Orlando, FL 32807 Phone: 407-382-1376 Fax: 321-235-3232 | |
Dr. Juan Carlos Cantu, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 7359 Lake Underhill Rd, Orlando, FL 32822 Phone: 407-900-9284 Fax: 407-203-8887 | |
Abhishek Mishra, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 7620 Lake Underhill Rd, Orlando, FL 32822 Phone: 321-235-0692 Fax: 321-235-0694 | |
Osmany Lazaro Rodriguez Herrada, MD General Practice Medicare: Medicare Enrolled Practice Location: 811 N Nowell St, Orlando, FL 32808 Phone: 407-259-2383 Fax: 407-363-3884 | |
Dr. Dariusz Grzegorz Mydlarz, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 6336 W Colonial Dr, Orlando, FL 32818 Phone: 407-219-5200 Fax: 321-281-8700 |