Provider Demographics
NPI:1609031442
Name:SOLORZANO GONZALEZ, JAIME SALVADOR (MD)
Entity Type:Individual
Prefix:DR
First Name:JAIME
Middle Name:SALVADOR
Last Name:SOLORZANO GONZALEZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1355 S INTERNATIONAL PKWY
Mailing Address - Street 2:STE 1451
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-1694
Mailing Address - Country:US
Mailing Address - Phone:321-439-1340
Mailing Address - Fax:
Practice Address - Street 1:2500 W LAKE MARY BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-3501
Practice Address - Country:US
Practice Address - Phone:407-936-0976
Practice Address - Fax:407-936-0977
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-22
Last Update Date:2022-05-05
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Provider Licenses
StateLicense IDTaxonomies
MA237836207R00000X
FLME110960207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine