Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0202X | Pediatric Cardiologist | MA 65375 | NJ |
N | 2080P0202X | Pediatric Cardiologist | MD-059406-L | PA |
N | 2080P0202X | Pediatric Cardiologist | ME 100044 | FL |
Y | 2080P0202X | Pediatric Cardiologist | ME100044 | FL |
NPI | 1083664932 |
---|---|
Provider Name | Dr. Mary C Sokoloski |
First Address | Fort Myers, FL 33902-2147 |
Second Address | Fort Myers, FL 33908-9687 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2006 |
Last Update Date | 11/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0016083560010 | (05) | PA |
280201500 | (05) | FL |
G63022 | (02) | PA |