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Organization
HARBORSIDE EYE SPECIALISTS, P.A.
Active
Organization
HARBORSIDE EYE SPECIALISTS, P.A.
Active
Other names
Harborside Eye Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL SOLANO DO (PRESIDENT)
(941) 624-4500
Entity
Organization
Contact information
Practice address
3430 TAMIAMI TRL, SUITE A, PORT CHARLOTTE, FL 33952-8127
(941) 624-4500
(941) 624-6066
Mailing address
PO BOX 495658, PORT CHARLOTTE, FL 33949-5658
(941) 624-4500
(941) 624-6066
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK4298
RR MEDICARE
—
Enumeration date
09/27/2007
Last updated
09/08/2023
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