Solomon, Michael Craig

Solomon, Michael Craig is an sole proprietor health care provider with primary practice located at 555 Lake Whitney Place Suite 103, Port St Lucie FL 34986-1623. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Solomon, Michael Craig can be contacted via phone (772) 468-0042.

Contact Information

Primary practice address
555 Lake Whitney Place Suite 103 Port St Lucie FL 34986-1623
Phone: (772) 468-0042
Fax: (772) 468-0309
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME79256 Florida

Profile Details

NPI number 1023070539
LBN Legal business name Solomon, Michael Craig
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2006
Last updated Aug 25th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023070539 NPPES
Florida MEDICAID 265785600

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