Basic Information
Provider Information
NPI: 1699094888
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SOCHET
FirstName: ANTHONY
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 501 6TH AVE S
Address2:  
City: ST PETERSBURG
State: FL
PostalCode: 337014634
CountryCode: US
TelephoneNumber: 7277674429
FaxNumber: 7277678526
Practice Location
Address1: 501 6TH AVE S
Address2:  
City: ST PETERSBURG
State: FL
PostalCode: 337014634
CountryCode: US
TelephoneNumber: 7277674429
FaxNumber: 7277678526
Other Information
ProviderEnumerationDate: 05/27/2010
LastUpdateDate: 07/13/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080P0203XME127846FLY Allopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
208000000XME127846FLN Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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