Provider Demographics
NPI:1386682748
Name:SOFFER, ARIEL D (MD)
Entity type:Individual
Prefix:
First Name:ARIEL
Middle Name:D
Last Name:SOFFER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2131 HOLLYWOOD BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-6728
Mailing Address - Country:US
Mailing Address - Phone:305-792-0555
Mailing Address - Fax:305-792-0557
Practice Address - Street 1:2131 HOLLYWOOD BLVD STE 101
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-6728
Practice Address - Country:US
Practice Address - Phone:305-792-0555
Practice Address - Fax:305-792-0557
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME69519207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL250570300Medicaid
FL250570300Medicaid
FL28236XMedicare PIN