Healthcare Provider Details

I. General information

NPI: 1457782328
Provider Name (Legal Business Name): NATALIA SOLENKOVA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2013
Last Update Date: 03/14/2024
Certification Date: 07/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 NW 12TH AVE
MIAMI FL
33136-1005
US

IV. Provider business mailing address

16850 COLLINS AVE # 112-666
SUNNY ISLES BEACH FL
33160-4238
US

V. Phone/Fax

Practice location:
  • Phone: 305-585-5315
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberME118599
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME118599
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: