Healthcare Provider Details

I. General information

NPI: 1821471947
Provider Name (Legal Business Name): DEERFIELD HEALTH CLINIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2015
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 S FEDERAL HWY
DEERFIELD BEACH FL
33441-4112
US

IV. Provider business mailing address

502 S FEDERAL HWY
DEERFIELD BEACH FL
33441-4112
US

V. Phone/Fax

Practice location:
  • Phone: 954-880-2595
  • Fax: 888-794-7864
Mailing address:
  • Phone: 954-667-5465
  • Fax: 412-451-8656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QB0002X
TaxonomyObesity Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: GEMINISA M SOLORZANO
Title or Position: CRCO
Credential:
Phone: 954-667-5465