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
Phone: (954) 265-5665
Fax: (954) 895-1578
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1679511505 | NPPES |
Florida | MEDICAID | 279636800 |
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