Healthcare Provider Details

I. General information

NPI: 1811463987
Provider Name (Legal Business Name): CARI SOLORZANO AND ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2018
Last Update Date: 09/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6100 JOHNSON ST UNIT B
HOLLYWOOD FL
33024-6030
US

IV. Provider business mailing address

6100 JOHNSON ST
HOLLYWOOD FL
33024-6030
US

V. Phone/Fax

Practice location:
  • Phone: 954-404-7704
  • Fax: 954-699-0790
Mailing address:
  • Phone: 954-404-7704
  • Fax: 954-699-0790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: CARI SOLORZANO
Title or Position: OWNER
Credential:
Phone: 954-404-7704