MEDICARE: MAX SOLANO 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	208M00000X	Hospitalist Physician	ME72236	FL
2	207Q00000X	Family Medicine Physician	ME72236	FL

General Provider Information

NPI Number	:	1962494542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAX SOLANO M.D.

Provider Business Mailing Address
First Line	:	7500 RIALTO BLVD STE 1-140
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78735-8534
Country	:	US
Telephone Number	:	512-730-3056
Fax Number	:	888-730-1925

Provider Business Practice Location Address
First Line	:	1 SHIRCLIFF WAY
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32204-4748
Country	:	US
Telephone Number	:	904-900-2421
Fax Number	:

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

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	11/12/2024

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