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Individual
DR. STEPHEN SOLLOT
Active
Individual
DR. STEPHEN SOLLOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS7631
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080182478
MEDICARE RR
FL
05
—
254050900
—
FL
01
—
56716
BCBS
FL
01
—
56716A
MEDICARE PTAN
FL
01
—
P00614918
RAILROAD MEDICARE
FL
Enumeration date
08/16/2005
Last updated
01/23/2013
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