Mohamed Aly Soliman

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS35579 Issued in FL

Practice address

3175 Cheney Hwy
Titusville, FL 32780-5979

Phone

(321) 268-5020

Fax

(321) 268-5022

NPI assigned

Nov 6, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1134720923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3175 CHENEY HWY",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327805979",
            "telephone_number": "321-268-5020",
            "fax_number": "321-268-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 CHENEY HWY",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327805979",
            "telephone_number": "321-268-5020",
            "fax_number": "321-268-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIMAN",
        "first_name": "MOHAMED",
        "middle_name": "ALY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS35579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick Raymond Smith Jr., MD
• Jessica L Smith, LMHC
• Stephanie D Smith
• Steven Louis Smith, D.C.
• Jaime Brooke Smyth
• Michael Sorbello, DO
• Renee Lok-Yee Wong Soucier, MD
• South Titusville Medical Center Inc
• Southern Living of Titusville
• Sovereign Healthcare of Titusville, LLC

• Pharmacist in Titusville, FL
• Providers in Titusville, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.