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NPI Code Detail

MEDICARE: MICHAEL D SOLOMON MD PA

MEDICARE: MICHAEL D SOLOMON MD PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistME66692FL

General Provider Information

NPI Number : 1417903519
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHAEL D SOLOMON MD PA
Provider Business Mailing Address
First Line : 3190 N MCMULLEN BOOTH RD STE 202
Second Line :
City : CLEARWATER
State : FL
Zip : 33761-2013
Country : US
Telephone Number : 727-210-2235
Fax Number : 727-210-2516
Provider Business Practice Location Address
First Line : 3190 N MCMULLEN BOOTH RD STE 202
Second Line :
City : CLEARWATER
State : FL
Zip : 33761-2013
Country : US
Telephone Number : 727-210-2235
Fax Number : 727-210-2516
Authorized Official
Title or Position : PRESIDENT
Name : DR. MICHAEL D SOLOMON
Credential : M.D.
Telephone Number : 727-210-2235
Provider Enumeration Date : 05/26/2006
Last Update Date : 11/13/2007

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