Healthcare Provider Details

I. General information

NPI: 1295848158
Provider Name (Legal Business Name): VALERIE SOLOMON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 N STATE ROAD 7 SUITE
LAUDERHILL FL
33313-5853
US

IV. Provider business mailing address

1600 N STATE ROAD 7 SUITE 200
LAUDERHILL FL
33313-5853
US

V. Phone/Fax

Practice location:
  • Phone: 954-583-1971
  • Fax:
Mailing address:
  • Phone: 954-583-1971
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License NumberME71882
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: