Walter G Sorokoty II
Nurse Anesthetist, Certified Registered in Fort Myers, FL. Individual provider (NPI-1).
NPI number1528089869
StatusActive
Last updated in NPPESFeb 10, 2020
Details
- NPI
- 1528089869
- Entity type
- Individual (NPI-1)
- Name
- Walter G Sorokoty II
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2006
- Certification date
- Feb 10, 2020
- Last updated
- Feb 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APRN3215792 | FL | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | ANT3215792 | FL |
Practice location
12511 World Plaza LnBldg 50
Fort Myers, FL 33907-3991
Phone 239-939-2622 · Fax 239-939-0151
Mailing address
1417 Claret CtFort Myers, FL 33919-3407
Phone 904-614-1405 · Fax 239-939-0151
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