Provider Demographics
NPI:1922314798
Name:SOLNES A TOBAL MD PA
Entity Type:Organization
Organization Name:SOLNES A TOBAL MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SOLNES
Authorized Official - Middle Name:A
Authorized Official - Last Name:TOBAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-434-9666
Mailing Address - Street 1:501 GOODLETTE RD N STE A106
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5663
Mailing Address - Country:US
Mailing Address - Phone:239-434-9666
Mailing Address - Fax:239-434-7791
Practice Address - Street 1:501 GOODLETTE RD N STE A106
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5663
Practice Address - Country:US
Practice Address - Phone:239-434-9666
Practice Address - Fax:239-434-7791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-31
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME71126207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLDQ561AOtherMEDICARE PTAN
FL1922314798OtherGROUP NPI