Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sofia Soto Chavez

Individual provider Physician Assistant · NPI 1992449789

Sofia Soto Chavez is a Physician Assistant in Tampa, Florida. Qualified in 2024, 2 years ago. Practices with H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr Inc, a 1,135-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
2
In the registry since
2022
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Practice location Address checks out

12902 Usf Magnolia Dr Fl 33612
Tampa, FL 33612-9416
Phone: (813) 745-2808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1992449789
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 26, 2022
Last updated in NPPESMay 21, 2024
Certification dateMay 21, 2024
Mailing address12604 Double Bridle Ct Apt 201, Tampa, FL 33625-2523

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice H Lee Moffitt Cancer Ctr And Res Inst Life Time Cancer Scrn Ctr Inc — 1135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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