Individual ProviderAnthony Nelson SotoNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address7950 Lake Underhill Rd, Orlando, FL 32822-8229(407) 658-2046(786) 817-7861PECOS EnrollmentBased on the most recent information from CMS, provider Anthony Nelson Soto is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1174737944Provider TypeIndividualFull NameNelson Soto, AnthonyCredential1532BGenderMaleSole ProprietorNoEnumeration Date5/10/2007Last Updated2/10/2026Contact InformationPractice LocationPractice Address7950 Lake Underhill Rd, Orlando, FL 32822-8229Phone(407) 658-2046FaxUnlisted FaxMailing LocationMailing Address819 Assembly Ct, Reunion, FL 34747-6760Phone(786) 817-7861FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense11043155FloridaCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicense9532827Florida