Healthcare Provider Details

I. General information

NPI: 1043297054
Provider Name (Legal Business Name): STEPHEN BARNETT SOLOMON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/30/2005
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 NW 14TH ST STE 702
MIAMI FL
33136-2118
US

IV. Provider business mailing address

1150 NW 14TH ST STE 702
MIAMI FL
33136-2118
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-5509
  • Fax: 305-243-5595
Mailing address:
  • Phone: 305-243-5509
  • Fax: 305-243-5595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberME182508
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: