Healthcare Provider Details

I. General information

NPI: 1437331493
Provider Name (Legal Business Name): SOLEY BAYRAKTAR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SOLEY SEREN

II. Dates (important events)

Enumeration Date: 12/03/2007
Last Update Date: 06/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 MEASE DR STE 409
SAFETY HARBOR FL
34695
US

IV. Provider business mailing address

2995 DREW ST FL 2
CLEARWATER FL
33759-3012
US

V. Phone/Fax

Practice location:
  • Phone: 727-443-8450
  • Fax: 727-533-5911
Mailing address:
  • Phone: 727-532-1355
  • Fax: 813-635-2613

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License NumberME140039
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number28863
License Number StateOK
# 3
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number67427
License Number StateWI
# 4
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberME140039
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: