Gravel Solano, Marie J
Gravel Solano, Marie J is an sole proprietor health care provider with primary practice located at 4725 N Federal Hwy , Fort Lauderdale FL 33308-4603. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Gravel Solano, Marie J can be contacted via phone (954) 958-4800.Contact Information
Primary practice address
4725 N Federal Hwy
Fort Lauderdale FL 33308-4603
Phone: (954) 958-4800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA3729 | Florida |
Profile Details
| NPI number | 1174691869 |
|---|---|
| LBN Legal business name | Gravel Solano, Marie J |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Jan 14th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174691869 | NPPES |
| Florida | Other | PA3729 | LICENSE |
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