Organization

Jorge A. Soto Pa

Community/Behavioral Health Agency in Doral, FL(View on Map)

Legal Business Name

Jorge A. Soto Pa

NPI Number

1639592363

NPI Type

Organization

Enumeration Date

01/31/2014

Specialties

(Taxonomies)

Code

251S00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

MH2568

Contact
Information

Purpose

Mailing
Location

Address

1470 NW 107TH AVE
1470 NW 107TH AVE

City

Doral
Doral

State

FL
FL

Postal Code

33172-2744
33172-2744

Country

US
US

Telephone Number

(305) 796-0582
(305) 796-0582

Authorized Official

Name

Jorge Soto

Title or Position

PRESIDENT

Telephone Number

(305) 796-0582

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/31/2014

Provider Address

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