NPI age
9 years
Enumerated 2017-02-12
● Active
Type 1 · Individual
Matthew Soberano, D.O.
Soberano is 1 of 4 allergy & immunology providers in Villa Rica and 1 of 151 in Georgia.
Primary specialty
Allergy & Immunology
Plus 2 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-11-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 151 active allergy & immunology providers in Georgia.
NPI age
9 years
↓ 10 yr below median (19 yr)
State licenses
1 state
15% of peers hold multiple states
Subspecialties
2
In the 37% of peers with subspecialties
NPI lifetime · 2017 → 2026
2017-02Enumerated in NPPES
2017
2026
Where they practice
Practice location
690 Dallas Hwy Ste 101
Villa Rica, GA 301801262
Mailing address
10013 Vineyard Lake Rd E
Jacksonville, FL 322561485
Specialties
-
Allergy & Immunology PrimaryAn allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and...
-
Internal MedicineA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
-
Student in an Organized Health Care Education/Training ProgramAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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