Provider Demographics
NPI:1194761080
Name:READ, SONIA (MD)
Entity type:Individual
Prefix:
First Name:SONIA
Middle Name:
Last Name:READ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1508
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34656-1508
Mailing Address - Country:US
Mailing Address - Phone:727-845-1652
Mailing Address - Fax:727-845-1642
Practice Address - Street 1:5411 GRAND BLVD
Practice Address - Street 2:SUITE 106
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-4011
Practice Address - Country:US
Practice Address - Phone:727-845-1652
Practice Address - Fax:727-845-1642
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-21
Last Update Date:2009-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0066959207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL214635OtherST AUGUSTINE
FL3105012OtherHUMANA
FL376658600Medicaid
FL48265OtherVYTRA
FL390005631OtherRAILROAD MEDICARE
FL6004584OtherGHI
FL01124OtherHEALTHEASE
FL214635OtherAVMED
FL25871OtherBLUE CROSS BLUE SHIELD
FL214635OtherST AUGUSTINE
FL214635OtherAVMED