Individual provider Active NPI

Edwin Patrick Soriano, M.D

  • Internal Medicine Physician
  • Winter Garden, FL
National Provider Identifier
1487848578
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME124370 Issued in FL
Practice address
12903 Canopy Woods Way
Winter Garden, FL 34787-5099
Phone
(773) 368-3972
NPI assigned
Aug 31, 2007
Last updated
Feb 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME124370 FL Primary

Addresses

Primary practice location

12903 Canopy Woods Way
Winter Garden, FL 34787-5099

Mailing address

12903 Canopy Woods Way
Winter Garden, FL 34787-5099
Phone (773) 368-3972

Other practice location 1

86 W Underwood St # Mp80
Orlando, FL 32806-1110
Phone (888) 912-2008

Other practice location 2

3443 Tamiami Trl Ste C
Port Charlotte, FL 33952-8159
Phone (941) 625-2667

Other practice location 3

2426 Bee Ridge Rd Ste C
Sarasota, FL 34239-6350
Phone (941) 554-6506

Other identifiers 3

IdentifierTypeStateIssuer
0163557OtherILBLUE CROSS
036119056MedicaidIL
015985600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151215002635 FL Practitioner - Internal Medicine 6901996214 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Dec 7, 2015 Accepting new patients
Central Florida Accident and Injury CurrentSince Mar 7, 2022 Accepting new patients
Integrative Wellness Centers of Sarasota CurrentSince Apr 7, 2022 Accepting new patients
Integrative Wellness Centers of Port Charlotte, LLC CurrentSince Apr 7, 2022 Accepting new patients
Gutteridge Jeancharles, MD, PA CurrentSince Aug 15, 2018 Accepting new patients
Orlando Health Medical Group Inc Internal Medicine CurrentSince Dec 7, 2015 Accepting new patients
Jodi Jakiel, LLC PastSince Nov 25, 2022 Accepting new patients
Hari Om Namo SC Past Accepting new patients
Suburban Home Physicians,LLC Internal Medicine Past Accepting new patients
Universal Health Institute, LTD PastSince Dec 9, 2024 Accepting new patients

Locations

17315 Pagonia Rd
Ste 103
Clermont, FL 34711
Phone (407) 344-4878

1781 Park Center Dr
Ste 120
Orlando, FL 32835
Phone (407) 297-3626

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

86 Underwood St
Orlando, FL 32806
Phone (321) 841-5142

86 Underwood St
#80
Orlando, FL 32806
Phone (321) 843-5270

3443 Tamiami Trl
Ste C
Pt Charlotte, FL 33952
Phone (941) 625-2667

2426 Bee Ridge Rd
Ste C
Sarasota, FL 34239
Phone (941) 554-6506

Interoperability endpoints

  • Direct secure messaging: esoriano25897@orlandohealth.medalliesdirect.net
  • FHIR API: https://api.platform.athenahealth.com/5813/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1487848578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12903 CANOPY WOODS WAY",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875099",
            "telephone_number": "773-368-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12903 CANOPY WOODS WAY",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875099",
            "telephone_number": "773-368-3972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "86 W Underwood St # Mp80",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061110",
            "country_code": "US",
            "telephone_number": "888-912-2008",
            "fax_number": "321-841-4085",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3443 Tamiami Trl Ste C",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339528159",
            "country_code": "US",
            "telephone_number": "941-625-2667",
            "fax_number": "941-315-9922",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2426 Bee Ridge Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342396350",
            "country_code": "US",
            "telephone_number": "941-554-6506",
            "fax_number": "941-315-9922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORIANO",
        "first_name": "EDWIN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-31",
        "last_updated": "2023-02-15",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME124370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0163557",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036119056",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015985600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

Verify at the official NPI Registry.