Provider Demographics
NPI:1225340813
Name:SOLANO, ROWLAND A (LMT)
Entity Type:Individual
Prefix:
First Name:ROWLAND
Middle Name:A
Last Name:SOLANO
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4631 NW 31ST AVE
Mailing Address - Street 2:#135
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-3433
Mailing Address - Country:US
Mailing Address - Phone:954-486-1377
Mailing Address - Fax:954-486-1374
Practice Address - Street 1:4631 NW 31ST AVE
Practice Address - Street 2:#135
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-3433
Practice Address - Country:US
Practice Address - Phone:954-486-1377
Practice Address - Fax:954-486-1374
Is Sole Proprietor?:No
Enumeration Date:2010-07-12
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA51096225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist