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Soe Paing

Hospitalist

Allopathic & Osteopathic Physicians

820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205

(904) 202-3860 (904) 202-2092

PECOS Enrollment

Based on the most recent information from CMS, provider Soe Paing is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:21 AM.

Profile Details

Provider ID
1235364563
Provider Type
Individual
Full Name
Paing, Soe
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
5/15/2009
Last Updated
6/16/2025

Contact Information

Practice Location

820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205

(904) 202-3860

(904) 202-3846

Mailing Location

PO Box 746638, Atlanta, GA 30374-6638

(904) 202-2092

(904) 376-4075

Provider Taxonomies

Code	Description	License
Code 208M00000X Primary	Description Hospitalist Allopathic & Osteopathic Physicians	License ME112113 Florida
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License ME112113 Florida

Provider Identifiers

ID	Description	Issuer
ID P01127626	Description Other	Issuer RR MEDICARE Florida
ID 005932800	Description Medicaid	Issuer Unlisted Florida

Soe Paing

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

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Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

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Description

Issuer

ID

Description

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Description

Issuer

Rotko, Tatjana A

Kawaf, Layla

Pai, Savita

Tismal, Daniel S

Wang, Crystal

Davis-Singletary, Leslie A

Kanar, Ozdemir Yusef

Karmand, Arezo June

Rojas, Carlos

Zoglman, Jason