Flavia Soto MD PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

FLAVIA SOTO MD PA

Practice address

1370 E Venice Ave Ste 208
Venice, FL 34285-9084

Phone

(941) 209-4646

Fax

(941) 445-4152

NPI assigned

Apr 27, 2021

Last updated

Oct 5, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Flavia Soto, MD

Title

Owner

Phone

(941) 584-3377

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Anne Dovec, M.D.

  • Surgery Physician
  • Winter Garden, FL
  • NPI 1962706606
  NPD (past)
• Diana M Lane

  • Surgery Physician
  • Lakeland, FL
  • NPI 1992233936
  NPD (past)
• Hannah Schuyler, RD

  • Registered Dietitian
  • Lakeland, FL
  • NPI 1780460766
  NPD (past)
• Amber Natalie Sena-Diaz

  • Physician Assistant
  • Orlando, FL
  • NPI 1033886825
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1114509304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 E VENICE AVE STE 208",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342859084",
            "telephone_number": "941-584-3377",
            "fax_number": "941-445-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 E VENICE AVE STE 208",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342859084",
            "telephone_number": "941-209-4646",
            "fax_number": "941-445-4152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3030 Harden Blvd Bldg 1",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338037952",
            "country_code": "US",
            "telephone_number": "863-398-3870",
            "fax_number": "941-445-4152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 Eichenfeld Dr",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115973",
            "country_code": "US",
            "telephone_number": "813-848-9588",
            "fax_number": "941-445-4152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLAVIA SOTO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "FLAVIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-584-3377",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME149730",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Shannon Marie Fleming
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• Surgery Physician in Venice, FL
• Providers in Venice, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.