Organization
JACK H SOLIMAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK H SOLIMAN MD PA (OWNER)
(386) 328-1117
Entity
Organization
Contact information
Practice address
6100 SAINT JOHNS AVE, SUITE 1, PALATKA, FL 32177-3844
(386) 328-1117
(386) 328-0533
Mailing address
6100 SAINT JOHNS AVE, SUITE 1, PALATKA, FL 32177-3844
(386) 328-1117
(386) 328-0533
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
ME0064892
FL
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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