Active NPI
Gloriangeles Soule, OT
- Occupational Therapist
- Lake Mary, FL
National Provider Identifier
1306171442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT13511
- Practice address
- 400 International Pkwy
Lake Mary, FL 32746-5061 - Phone
- (407) 732-5848
- NPI assigned
- Oct 7, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT13511 | FL | Primary |
Addresses
Primary practice location
400 International Pkwy
Lake Mary, FL 32746-5061
Mailing address
442 Wekiva Cove Rd
Longwood, FL 32779-5600
Phone (352) 317-0206
Other practice location 1
900 Lpga Blvd
Daytona Beach, FL 32117-3113
Phone (386) 226-9000
Other names 1
- Gloria Juarez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT13511 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1306171442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "442 WEKIVA COVE RD",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327795600",
"telephone_number": "352-317-0206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 INTERNATIONAL PKWY",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327465061",
"telephone_number": "407-732-5848"
}
],
"practiceLocations": [
{
"address_1": "900 Lpga Blvd",
"address_purpose": "LOCATION",
"city": "Daytona Beach",
"state": "FL",
"postal_code": "321173113",
"country_code": "US",
"telephone_number": "386-226-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOULE",
"first_name": "GLORIANGELES",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-07",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT13511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GLORIA",
"last_name": "JUAREZ",
"credential": "OT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lake Mary, FL
- Ana Songer, LMHC
- Jamie L Soroka, DNP-PMHNP
- Taira Naiomy Soto Mendez, BEHAVIOR TECHNICIAN
- Rose Lilly Soto
- Shirley Doris Sotomayor, DPT
- Speak Your Mind Speech Therapy LLC
- Specialized Treatment, Education and Prevention Services, Inc.
- Spectrum Medical Partners
- Spectrum Medical Partners Florida Management, LLC
- Speech Therapy Associates of Florida, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.