Individual provider · Type 1 NPI

Jorge Enrique De la Rotta Soto, APRN

Family Nurse Practitioner · Ponte Vedra, FL

NPI number 1245791078 Active

Practice location

90 Fort Wade Rd Ste 100
Ponte Vedra, FL 32081-5114

Other practice locations

  • 1075 Oakleaf Plantation Pkwy Ste 108, Orange Park, FL 32065-3626 · (904) 282-4565

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X11001660 (FL)

Family Nurse Practitioner: Definition to come...

13 other providers at this address

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About NPI 1245791078

Jorge Enrique De la Rotta Soto, APRN's National Provider Identifier is 1245791078, issued on Mar 26, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ponte Vedra, FL. The record was last updated on Dec 2, 2025.