Provider Demographics
NPI:1982672135
Name:TOBAL, SOLNES A (MD)
Entity Type:Individual
Prefix:DR
First Name:SOLNES
Middle Name:A
Last Name:TOBAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:501 GOODLETTE RD N
Mailing Address - Street 2:STE A 106
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102
Mailing Address - Country:US
Mailing Address - Phone:239-434-9666
Mailing Address - Fax:239-434-7791
Practice Address - Street 1:501 GOODLETTE RD N
Practice Address - Street 2:STE A 106
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102
Practice Address - Country:US
Practice Address - Phone:239-434-9666
Practice Address - Fax:239-434-7791
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2014-07-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME71126207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G35966Medicare UPIN
FL32137XMedicare PIN