# HARBORSIDE EYE SPECIALISTS, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Harborside Eye Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962699538
- **Authorized official:** DR. DANIEL SOLANO DO (PRESIDENT)
- **Authorized official phone:** (941) 624-4500

## Contact information

- **Practice address:** 3430 TAMIAMI TRL, SUITE A, PORT CHARLOTTE, FL 33952-8127
- **Practice address phone:** (941) 624-4500
- **Practice address fax:** (941) 624-6066
- **Mailing address:** PO BOX 495658, PORT CHARLOTTE, FL 33949-5658
- **Mailing address phone:** (941) 624-4500
- **Mailing address fax:** (941) 624-6066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/27/2007
- **Last updated:** 09/08/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CK4298 | RR MEDICARE | — |