Individual
DR. MICHAEL CRAIG SOLOMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 LAKE WHITNEY PLACE, SUITE 103, PORT ST LUCIE, FL 34986-1623
(772) 468-0042
(772) 468-0309
Mailing address
555 LAKE WHITNEY PLACE, SUITE 103, PORT ST LUCIE, FL 34986-1623
(772) 201-9854
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME79256
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265785600
—
FL
Enumeration date
04/03/2006
Last updated
08/25/2020
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