Provider Demographics
NPI:1114019916
Name:SOLAGES, ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:
Last Name:SOLAGES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 292523
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33329-2523
Mailing Address - Country:US
Mailing Address - Phone:954-583-9661
Mailing Address - Fax:954-272-8201
Practice Address - Street 1:2400 N UNIVERSITY DR
Practice Address - Street 2:SUITE 215
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-3629
Practice Address - Country:US
Practice Address - Phone:954-583-9661
Practice Address - Fax:954-272-8201
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME92045207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL52698OtherBCBS OF FL
FL272879600Medicaid
FLAD333XMedicare PIN