Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | OS17222 | FL |
NPI | 1063705879 |
---|---|
Provider Name | Frederick E Soliman |
First Address | Orlando, FL 32817-8353 |
Second Address | Orlando, FL 32817-8353 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2011 |
Last Update Date | 20/04/2021 |