Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 41368 | FL |
NPI | 1033294012 |
---|---|
Provider Name | Carlos Alberto Solorzano |
First Address | Tampa, FL 33607-1852 |
Second Address | Tampa, FL 33607-1852 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2006 |
Last Update Date | 08/07/2007 |