Healthcare Provider Details

I. General information

NPI: 1245228626
Provider Name (Legal Business Name): RICHARD SOLA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 MEASE DR STE 202
SAFETY HARBOR FL
34695-6604
US

IV. Provider business mailing address

1840 MEASE DR STE 202
SAFETY HARBOR FL
34695-6604
US

V. Phone/Fax

Practice location:
  • Phone: 727-725-6246
  • Fax: 727-725-5865
Mailing address:
  • Phone: 727-725-6246
  • Fax: 727-725-5865

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberME50893
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: