Sotolongo, Carlos M
Sotolongo, Carlos M is an individual health care provider with primary practice located at 1361 13Th Ave S Ste 270 , Jacksonville Beach FL 32250-3258. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Sotolongo, Carlos M can be contacted via phone (904) 241-7147.Contact Information
Primary practice address
1361 13Th Ave S Ste 270
Jacksonville Beach FL 32250-3258
Phone: (904) 241-7147
Fax: (904) 241-5942
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME70357 | Florida |
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | ME70357 | Florida |
Profile Details
| NPI number | 1639171044 |
|---|---|
| LBN Legal business name | Sotolongo, Carlos M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Nov 17th, 2015 - about 9 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 | 1639171044 | NPPES |
| Florida | MEDICAID | 379608600 | |
| Florida | Other | P00188533 |
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