Provider Demographics
NPI:1720382518
Name:SOLOMON LERER MD PA
Entity Type:Organization
Organization Name:SOLOMON LERER MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SOLOMON
Authorized Official - Middle Name:LEO
Authorized Official - Last Name:LERER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-931-6220
Mailing Address - Street 1:21110 BISCAYNE BLVD STE 303
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1229
Mailing Address - Country:US
Mailing Address - Phone:305-931-6220
Mailing Address - Fax:305-466-4755
Practice Address - Street 1:21110 BISCAYNE BLVD STE 303
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1229
Practice Address - Country:US
Practice Address - Phone:305-931-6220
Practice Address - Fax:305-466-4755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-07
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0030334174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty