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NPI Code Detail

MEDICARE: JOSE LUIS SOLER MD

MEDICARE:   JOSE LUIS SOLER  MD
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
1207R00000XInternal Medicine PhysicianME55021FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932163961
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSE LUIS SOLER MD
Provider Business Mailing Address
First Line : 770 W DR MARTIN LUTHER KING JR BLVD
Second Line :
City : SEFFNER
State : FL
Zip : 33584-4534
Country : US
Telephone Number : 813-654-7005
Fax Number : 813-654-1050
Provider Business Practice Location Address
First Line : 770 W DR MARTIN LUTHER KING JR BLVD
Second Line :
City : SEFFNER
State : FL
Zip : 33584-4534
Country : US
Telephone Number : 813-654-7005
Fax Number : 813-654-1050
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2006
Last Update Date : 09/02/2021

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Directions to “ JOSE LUIS SOLER MD” Practice Location

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