| Soriano Physician Services Pllc | |
|
1264 Us Highway 1 Ste 105 Rockledge FL 32955-2746 | |
| (321) 877-0007 | |
| (321) 338-2001 |
| Full Name | Soriano Physician Services Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1264 Us Highway 1 Ste 105, Rockledge, Florida |
| Authorized Official Name and Position | Yordanka B Acosta (OFFICE MANAGER) |
| Authorized Official Contact | 3218770007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Soriano Physician Services Pllc 1264 Us Highway 1 Ste 105 Rockledge FL 32955-2746 Ph: (321) 877-0007 | Soriano Physician Services Pllc 1264 Us Highway 1 Ste 105 Rockledge FL 32955-2746 Ph: (321) 877-0007 |
| NPI Number | 1093203531 |
|---|---|
| Provider Enumeration Date | 04/30/2018 |
| Last Update Date | 01/04/2024 |
| Medicare PECOS PAC ID | 8426398652 |
|---|---|
| Medicare Enrollment ID | O20190326000815 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093203531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Victor Soriano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225463326 PECOS PAC ID: 9931404431 Enrollment ID: I20170814002004 |
| Provider Name | Brittany Lauren Durbin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043814700 PECOS PAC ID: 3173934817 Enrollment ID: I20201201001587 |
| Provider Name | Latoya Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053910778 PECOS PAC ID: 1254714652 Enrollment ID: I20220817003954 |
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