Male or Other

Mr. Luis D. Soriano PA-C

Medical Physician Assistant in Pembroke Pines, FL(View on Map)

Full Name

Mr. Luis D'Montique Soriano PA-C

NPI Number

1629386396

NPI Type

Individual Provider

Gender

Male

Enumeration Date

09/15/2010

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA9105637

Contact
Information

Purpose

Mailing
Location

Address

1220 BEL AIRE DR W
1220 BEL AIRE DR W

City

Pembroke Pines
Pembroke Pines

State

FL
FL

Postal Code

33027-2220
33027-2220

Country

US
US

Telephone Number

(786) 316-1211
(786) 316-1211

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

Data last updated by provider on 09/25/2010

Provider Address

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