Provider Demographics
NPI:1841448057
Name:SOLANO, LEONARD J (DC)
Entity type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:J
Last Name:SOLANO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3525 W LAKE MARY BLVD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-3473
Mailing Address - Country:US
Mailing Address - Phone:407-323-6001
Mailing Address - Fax:407-323-6099
Practice Address - Street 1:3525 W. LAKE MARY BLVD
Practice Address - Street 2:SUITE 301
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746
Practice Address - Country:US
Practice Address - Phone:407-323-6001
Practice Address - Fax:407-323-6099
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-29
Last Update Date:2010-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9551111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation