Individual
GREGORY G SOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14534 OLD SAINT AUGUSTINE RD STE 3220, JACKSONVILLE, FL 32258-2645
(904) 880-1260
(904) 880-1210
Mailing address
PO BOX 44004, JACKSONVILLE, FL 32231-4004
(904) 202-1032
(904) 880-1210
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME67747
FL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
ME67747
FL
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
ME67747
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2588765-00
—
FL
01
—
P00294581
RAILROAD MEDICARE
FL
Enumeration date
02/10/2006
Last updated
03/25/2021
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