Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | TRN20166 | FL |
NPI | 1033525563 |
---|---|
Provider Name | Yarelis Soto Gonzalez |
First Address | Gainesville, FL 32611-0001 |
Second Address | Gainesville, FL 32610-3003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2014 |
Last Update Date | 29/10/2021 |