Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | ME0030334 | FL |
NPI | 1013993567 |
---|---|
Provider Name | Mr. Solomon Leo Lerer |
First Address | Aventura, FL 33180-1227 |
Second Address | Aventura, FL 33180-1227 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/12/2005 |
Last Update Date | 20/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
064729200 | (05) | FL |
D86336 | (02) |