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NPI 1609387752

NPI 1609387752 : RONALD JOSE SOLORZANO-PALLAIS MD : ARCADIA, FL

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General NPI Number Information
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    NPI Number           |    1609387752
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    Entity Type          |    Individual 
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    Provider Name        |    RONALD JOSE SOLORZANO-PALLAIS MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/17/2017
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    Last Update Date     |    10/17/2017
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Provider Practice Location Address
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    Address Line         |    13617 SE HIGHWAY 70 
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    City                 |    ARCADIA
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    State                |    FL
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    Zip                  |    34266-7800
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    Country              |    US
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    Telephone            |    863-485-1325
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    Fax                  |    863-884-9648
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Provider Business Mailing Address
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    Address Line         |    13617 SE HIGHWAY 70 
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    City                 |    ARCADIA
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    State                |    FL
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    Zip                  |    34266-7800
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    Country              |    US
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    Telephone            |    863-485-1325
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    Fax                  |    863-884-9648
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    ME43833
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    License Number State |    FL
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