DR. MARIA GAVANCHO SOTOMAYOR (NPI# 1316912082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316912082 |
| Entity Type | Individual |
| Full Name | DR. MARIA GAVANCHO SOTOMAYOR |
| Credential | MD |
| Practice Address |
3622 Madaca Ln Tampa FL 33618-2057 |
| Mailing Address |
4919 Memorial Hwy Ste 150 Tampa FL 33634-7516 |
| Practice Telephone | 8135133643 |
| Practice Fax Number | 8136055465 |
| Mailing Telephone | 8133331512 |
| Mailing Fax Number | 8133331561 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2020-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | ME94010 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710481635 | Maria Luisa Sotomayor | Technician | 336 S Jones Blvd Ste B, Las Vegas, NV 89107-2623 | 2018-03-23 |
| Street Address |
3622 MADACA LN |
| City | TAMPA |
| State | FL |
| Zip Code | 33618-2057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043667520 | Heidi Mattison | Nurse Practitioner | 3622 Madaca Ln, Tampa, FL 33618-2057 | 2016-05-16 |
| 1982070157 | Riverside Spine & Pain Physicians, LLC | Specialist | 3622 Madaca Ln, Tampa, FL 33618-2057 | 2015-08-11 |
| 1578696159 | Seth B Forman Md Pl | Dermatology | 3622 Madaca Ln, Tampa, FL 33618-2057 | 2007-03-13 |
| 1215961065 | Nioma M Brown | Nurse Practitioner | 3622 Madaca Ln, Tampa, FL 33618-2057 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714130 | Virgin Mary's Pharmacy | Pharmacy | 14606 N Dale Mabry, Tampa, FL 33618 | 2020-03-05 |
| 1801378252 | Leah Rae Petit | Nurse Practitioner | 3505, 11809 N Dale Mabry Hwy, Tampa, FL 33618 | 2018-09-02 |
| 1265921100 | Almighty Home Healthcare Services, Inc. | Home Health | 16614 N. Dale Mabry Hwy, Tampa, FL 33618 | 2018-05-07 |
| 1972016368 | Pepe C Mcneal | Specialist | 15241 North Dalemabry Ave, Sola Salons (studio #14, Tampa, FL 33618 | 2017-11-08 |
| 1760919179 | Sara Ashley Carr | Counselor | 10014 N Dale Mabry Hwy Ste 216, Tampa, FL 33618 | 2017-05-16 |
| 1073975231 | National Vision, Inc. | Technician/Technologist | 10934 N Dale Mabry Hwy, Carrollwood, FL 33618 | 2016-03-25 |
| 1003209792 | Tampa General Medical Group Inc | Internal Medicine | 3419 N Lakeview Dr, Tampa, FL 33618 | 2015-03-05 |
| 1114205648 | Liberty Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 3653 Madaca Ln, Tampa, FL 33618 | 2011-08-02 |
| 1386938215 | David Leonardo Higuera | Pharmacist | 2901 W Bush Blvd, Suite 104, Tampa, FL 33618 | 2011-06-08 |
| 1922303973 | Kimberly Lynne Little | Social Worker | 3044 W. Bearss Avenue, Tampa, FL 33618 | 2011-01-24 |
| Find all providers in zip 33618 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922617729 | Synergymd, LLC | Dermatology | 1208 E Kennedy Blvd Ste 221, Tampa, FL 33602-3509 | 2020-07-28 |
| 1578927596 | Lombardi Institute of Dermatology | Dermatology | 602 S Audubon Ave Ste B, Tampa, FL 33609-4217 | 2016-04-06 |
| 1275909806 | Dermatology Network of Florida, LLC | Dermatology | 8320 W Hillsborough Ave, Ste B, Tampa, FL 33615-3824 | 2015-08-18 |
| 1225424740 | Lisa Marie Diaz | Dermatology | 17401 Commerce Park Blvd Ste 104, Tampa, FL 33647-3507 | 2015-04-10 |
| 1053702134 | Robert R. Tawil | Dermatology | 3741 W Neptune St, Tampa, FL 33629-5118 | 2015-02-11 |
| 1013317460 | Scott Forrester Lindsey | Dermatology | 310 S. Macdill Ave., Suite 201, Tampa, FL 33609 | 2014-09-03 |
| 1619317575 | Jonathan Lopez | Dermatology | 2727 W Dr Mlk Blvd Ste 570, Tampa, FL 33607-6009 | 2013-06-25 |
| 1619151479 | C Lance Kane Md Pa | Dermatology | 505 S Habana Ave, Tampa, FL 33609 | 2007-12-28 |
| 1730362112 | Amanda Brooke Sergay | Dermatology | 310 S Macdill Ave, Tampa, FL 33609-3142 | 2007-12-09 |
| 1649362112 | Gisela Torres-bonilla | Dermatology | 4700 N Habana Ave Ste 303, Tampa, FL 33614-7118 | 2006-09-29 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.