| Oscar A Soto Md Pa | |
|
4800 N Federal Hwy Ste 200 Fort Lauderdale FL 33308-4611 | |
| (954) 771-2111 | |
| (954) 771-7347 |
| Full Name | Oscar A Soto Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 4800 N Federal Hwy Ste 200, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Oscar A Soto (PRESIDENT) |
| Authorized Official Contact | 9547712111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oscar A Soto Md Pa 4800 N Federal Hwy Ste 200 Fort Lauderdale FL 33308-4611 Ph: (954) 771-2111 | Oscar A Soto Md Pa 4800 N Federal Hwy Ste 200 Fort Lauderdale FL 33308-4611 Ph: (954) 771-2111 |
| NPI Number | 1689625626 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 10/15/2019 |
| Medicare PECOS PAC ID | 6406867563 |
|---|---|
| Medicare Enrollment ID | O20060606000061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689625626 | NPI | - | NPPES |
| 065242300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME14780 (Florida) | Primary |
| Provider Name | Bernard Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447218870 PECOS PAC ID: 9335191709 Enrollment ID: I20060606000091 |
| Provider Name | Laura Uchoa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699230409 PECOS PAC ID: 3173956851 Enrollment ID: I20191211000845 |
| Provider Name | Evelio V Estrada Molina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912547019 PECOS PAC ID: 6507270774 Enrollment ID: I20210129000244 |
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