Organization
MICHAEL C. SOLOMON, MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL CRAIG SOLOMON MD (PRESIDENT)
(772) 468-0042
Entity
Organization
Contact information
Practice address
4638 S 25TH ST, FORT PIERCE, FL 34981-5057
(772) 468-0042
Mailing address
4638 S 25TH ST, FORT PIERCE, FL 34981-5057
(772) 468-0042
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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