Provider Demographics
NPI:1831136001
Name:PEDRO M SOLER MD PA
Entity Type:Organization
Organization Name:PEDRO M SOLER MD PA
Other - Org Name:PEDRO M SOLER MD PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:M
Authorized Official - Last Name:SOLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-878-9889
Mailing Address - Street 1:4144 N ARMENIA AVE STE 250
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6447
Mailing Address - Country:US
Mailing Address - Phone:813-878-9889
Mailing Address - Fax:813-872-9560
Practice Address - Street 1:4144 N ARMENIA AVE STE 250
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6447
Practice Address - Country:US
Practice Address - Phone:813-878-9889
Practice Address - Fax:813-872-9560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME700592086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
H19083Medicare UPIN
49964Medicare ID - Type Unspecified