Provider Demographics
NPI:1437331493
Name:BAYRAKTAR, SOLEY (MD)
Entity Type:Individual
Prefix:DR
First Name:SOLEY
Middle Name:
Last Name:BAYRAKTAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SOLEY
Other - Middle Name:
Other - Last Name:SEREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2995 DREW ST FL 2
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33759-3012
Mailing Address - Country:US
Mailing Address - Phone:727-532-1355
Mailing Address - Fax:813-635-2613
Practice Address - Street 1:1840 MEASE DR STE 409
Practice Address - Street 2:
Practice Address - City:SAFETY HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34695
Practice Address - Country:US
Practice Address - Phone:727-443-8450
Practice Address - Fax:727-533-5911
Is Sole Proprietor?:No
Enumeration Date:2007-12-03
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK28863207RH0003X
WI67427207RH0003X
FLME140039207RX0202X, 207RH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL102810600Medicaid