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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639171044 NPPES
Florida MEDICAID 379608600
Florida Other P00188533

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