# JACK H SOLIMAN MD PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689942047
- **Authorized official:** JACK H SOLIMAN MD PA (OWNER)
- **Authorized official phone:** (386) 328-1117

## Contact information

- **Practice address:** 6100 SAINT JOHNS AVE, SUITE 1, PALATKA, FL 32177-3844
- **Practice address phone:** (386) 328-1117
- **Practice address fax:** (386) 328-0533
- **Mailing address:** 6100 SAINT JOHNS AVE, SUITE 1, PALATKA, FL 32177-3844
- **Mailing address phone:** (386) 328-1117
- **Mailing address fax:** (386) 328-0533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | ME0064892 | FL | Yes |

## Other

- **Enumeration date:** 12/13/2011
- **Last updated:** 12/13/2011