Provider Demographics
NPI:1093044216
Name:SOLIMAN, JOHN SELIM (DO)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:SELIM
Last Name:SOLIMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3519 PALM HARBOR BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683-1416
Mailing Address - Country:US
Mailing Address - Phone:813-336-4461
Mailing Address - Fax:813-336-4466
Practice Address - Street 1:3519 PALM HARBOR BLVD STE B
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34683-1416
Practice Address - Country:US
Practice Address - Phone:813-336-4461
Practice Address - Fax:813-336-4466
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-17
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL125053281207T00000X
FLOS12088207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLOS12088OtherFLORIDA LICENSE