MEDICARE: MS. GINA SOL BSN, RN

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	163W00000X	Registered Nurse	RN9572873	FL

General Provider Information

NPI Number	:	1942040860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. GINA SOL BSN, RN

Provider Business Mailing Address
First Line	:	PO BOX 694723
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33269-1723
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 694723
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33269-1723
Country	:	US
Telephone Number	:	877-309-0042
Fax Number	:

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

Provider Enumeration Date	:	05/29/2024
Last Update Date	:	05/29/2024

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