Provider Demographics
NPI:1609387752
Name:SOLORZANO-PALLAIS, RONALD JOSE (MD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:JOSE
Last Name:SOLORZANO-PALLAIS
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 1:13617 SE HIGHWAY 70
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:FL
Mailing Address - Zip Code:34266-7800
Mailing Address - Country:US
Mailing Address - Phone:863-485-1325
Mailing Address - Fax:863-884-9648
Practice Address - Street 1:13617 SE HIGHWAY 70
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:FL
Practice Address - Zip Code:34266-7800
Practice Address - Country:US
Practice Address - Phone:863-485-1325
Practice Address - Fax:863-884-9648
Is Sole Proprietor?:No
Enumeration Date:2017-10-17
Last Update Date:2017-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME43833208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice