MEDICARE: CARLOS A, SOLORZANO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	41368	FL

General Provider Information

NPI Number	:	1063597128
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARLOS A, SOLORZANO

Provider Business Mailing Address
First Line	:	3233 W COLUMBUS DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-1852
Country	:	US
Telephone Number	:	813-933-6464
Fax Number	:	727-593-1034

Provider Business Practice Location Address
First Line	:	3233 W COLUMBUS DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-1852
Country	:	US
Telephone Number	:	813-933-6464
Fax Number	:	727-593-1034

Authorized Official
Title or Position	:	MD
Name	:	CARLOS ALBERTO SOLORZANO
Credential	:	MD
Telephone Number	:	813-933-6464

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	08/22/2020

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