Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | CH13184 | FL |
NPI | 1437776663 |
---|---|
Provider Name | Dr. Manuel Alejandro Soto-Garcia |
First Address | Orlando, FL 32801-2789 |
Second Address | Winter Garden, FL 34787-5781 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2020 |
Last Update Date | 02/11/2021 |