Individual provider · Type 1 NPI

Stefanie Soto, PA-C

Medical Physician Assistant · Brandon, FL

NPI number 1659720688 Active

Practice location

313 S Lakewood Dr
Brandon, FL 33511-2815

Mailing address

530 S Lake Dr
Lantana, FL 33462-3229

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9109569 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1659720688

Stefanie Soto, PA-C's National Provider Identifier is 1659720688, issued on Jun 9, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Brandon, FL. The record was last updated on Jun 9, 2016.