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Contact Information

JORGE L SOTELO, MD
3501 JOHNSON ST FL 2
HOLLYWOOD, FL33021-5421
 Phone: 954-265-5665
 Fax: 954-895-1578
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for JORGE L SOTELO · (Male)

NPI # 1679511505
Status Active
Credentials MD
Entity Individual
Enumeration date 06/03/2006
Last updated 03/15/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME89636
  • FL Medicaid 279636800
Hospital affiliation(s)
  • MEMORIAL REGIONAL HOSPITAL - (Acute Care)
    3501 JOHNSON ST
    HOLLYWOOD, FL 33021
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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