Individual
BRUCE S SOLOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-1749
(352) 273-5550
Mailing address
PO BOX 100236, GAINESVILLE, FL 32610-0236
(352) 273-5550
(352) 273-5575
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
9400643
NC
2084N0400X
Neurology Physician
Primary
OS16308
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105070700
—
FL
01
—
130009346
RAILROAD MEDICARE
NC
01
—
78450
BCBS NC
NC
05
—
8978450
—
NC
01
—
Q00643
SC MEDICAID
SC
Enumeration date
04/24/2006
Last updated
10/07/2020
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