| Soflo Id LLC | |
|
777 E 25th St Ste 418 Hialeah FL 33013-3835 | |
| (305) 962-8149 | |
| Not Available |
| Full Name | Soflo Id LLC |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 777 E 25th St Ste 418, Hialeah, Florida |
| Authorized Official Name and Position | Nicole L Cohen (OWNER) |
| Authorized Official Contact | 3059628149 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soflo Id LLC Po Box 630265 Miami FL 33163-0265 Ph: (305) 962-8149 | Soflo Id LLC 777 E 25th St Ste 418 Hialeah FL 33013-3835 Ph: (305) 962-8149 |
| NPI Number | 1245984335 |
|---|---|
| Provider Enumeration Date | 02/08/2022 |
| Last Update Date | 02/08/2022 |
| Certification Date | 02/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245984335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | () | Primary |
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