Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | ME67747 | FL |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | ME67747 | FL |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | ME67747 | FL |
NPI | 1659344489 |
---|---|
Provider Name | Gregory G Solis |
First Address | Jacksonville, FL 32231-4004 |
Second Address | Jacksonville, FL 32258-2645 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2006 |
Last Update Date | 25/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2588765-00 | (05) | FL |
H15477 | (02) | FL |
P00294581 | RAILROAD MEDICARE (01) | FL |