Provider Demographics
NPI:1093004285
Name:SANDRA SOFINSKI, MD
Entity type:Organization
Organization Name:SANDRA SOFINSKI, MD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPHTHALMOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:J
Authorized Official - Last Name:SOFINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-948-8148
Mailing Address - Street 1:2305 AARON ST APT 411
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33952-5364
Mailing Address - Country:US
Mailing Address - Phone:310-948-8148
Mailing Address - Fax:
Practice Address - Street 1:150 W MCKENZIE ST STE 117
Practice Address - Street 2:
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33950-5500
Practice Address - Country:US
Practice Address - Phone:941-639-2020
Practice Address - Fax:941-639-0440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-29
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice