Sotelo, Jorge Luis

Sotelo, Jorge Luis is an individual health care provider with primary practice located at 3501 Johnson St Fl 2 , Hollywood FL 33021-5421. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Sotelo, Jorge Luis can be contacted via phone (954) 265-5665.

Contact Information

Primary practice address
3501 Johnson St Fl 2 Hollywood FL 33021-5421
Fax: (954) 895-1578
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME89636 Florida

Profile Details

NPI number 1679511505
LBN Legal business name Sotelo, Jorge Luis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Mar 15th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679511505 NPPES
Florida MEDICAID 279636800

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