MEDICARE: BRENDON M SOLOMON

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	101YM0800X	Mental Health Counselor	MH20611	FL

General Provider Information

NPI Number	:	1538656418
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDON M SOLOMON

Provider Business Mailing Address
First Line	:	PO BOX 10527
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33061-6527
Country	:	US
Telephone Number	:	305-209-8121
Fax Number	:

Provider Business Practice Location Address
First Line	:	2727 NE 14TH STREET CSWY
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-3595
Country	:	US
Telephone Number	:	305-209-8121
Fax Number	:

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

Provider Enumeration Date	:	04/17/2018
Last Update Date	:	06/05/2024

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Directions to “ BRENDON M SOLOMON ” Practice Location

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