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DR. ADORACION POBLETE SOTOMAYOR MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1033276878

Individual Registrant:
DR. ADORACION POBLETE SOTOMAYOR MD
Gender: F
Sole Proprietor

Location and contact information for practice:
365 WEST OLIVER STREET  BALDWIN, FL 32234-0608 US
Tel: 904-266-9223  Fax: --

Contact information for business:
PO BOX 608 365 WEST OLIVER STREET BALDWIN, FL 32234-0608 US
Tel: 904-266-9223  Fax: --

Registration Information:
NPI: 1033276878
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
FL28715

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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