MEDICARE: DR. EWA GUZ SOLSKI M.D.

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	207Q00000X	Family Medicine Physician	ME86787	FL

General Provider Information

NPI Number	:	1205877099
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EWA GUZ SOLSKI M.D.

Provider Business Mailing Address
First Line	:	2421 NW 95TH AVE
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-4925
Country	:	US
Telephone Number	:	954-575-4940
Fax Number	:

Provider Business Practice Location Address
First Line	:	9900 W SAMPLE RD
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-4048
Country	:	US
Telephone Number	:	954-575-4940
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2006
Last Update Date	:	07/08/2007

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