Provider Demographics
NPI:1831250505
Name:SOLOMON, JEFFREY S (DC)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:S
Last Name:SOLOMON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13865 SOUTH DIXIE HIGHWAY
Mailing Address - Street 2:307
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176
Mailing Address - Country:US
Mailing Address - Phone:305-252-9090
Mailing Address - Fax:305-252-9058
Practice Address - Street 1:13865 SOUTH DIXIE HIGHWAY
Practice Address - Street 2:307
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176
Practice Address - Country:US
Practice Address - Phone:305-252-9090
Practice Address - Fax:305-252-9058
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH4396111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL88036Medicare ID - Type Unspecified