Healthcare Provider Details

I. General information

NPI: 1982947834
Provider Name (Legal Business Name): EKTA ASHOK SOLANKI D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2013
Last Update Date: 08/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 JFK DR STE 210
ATLANTIS FL
33462-6607
US

IV. Provider business mailing address

5300 EAST AVE
WEST PALM BEACH FL
33407-2387
US

V. Phone/Fax

Practice location:
  • Phone: 561-548-1450
  • Fax: 561-548-1459
Mailing address:
  • Phone: 561-548-2173
  • Fax: 561-548-1572

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberOS13823
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: