Shauntell J Solomon
Dermatologist MOHS-Micrographic Surgeon
6310 Health Park Way Ste 101
Lakewood Ranch
, Florida 34202-5177
Shauntell J Solomon
Dermatologist MOHS-Micrographic Surgeon
6310 Health Park Way Ste 101
Lakewood Ranch
, Florida 34202-5177
(941) 296-8501
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Shauntell J Solomon
- 4411 Bee Ridge Rd Pmb 309
- Sarasota, FL
- Zip : 34233
- Fax : (941) 296-8501
- Phone : (941) 926-6553
Second Address
- Shauntell J Solomon
- 6310 Health Park Way Ste 101
- Lakewood Ranch, FL
- Zip : 34202-5177
- Fax : (941) 296-8501
- Phone : (941) 926-6553
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | OS10617 | FL |
| Y | 207ND0101X | MOHS-Micrographic Surgeon | OS 10617 | FL |
National Provider Identifier
| NPI | 1376779710 |
|---|---|
| Provider Name | Shauntell J Solomon |
| First Address | Sarasota, FL 34233 |
| Second Address | Lakewood Ranch, FL 34202-5177 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/05/2009 |
| Last Update Date | 14/12/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| FS4470869 | DEA (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.