Active NPI
Solomon Reodica, M.D.
- Surgery Physician
- Defuniak Springs, FL
National Provider Identifier
1609971910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- FLME0025250
- Practice address
- 4415 Highway 331 Soutn
Defuniak Springs, FL 32435 - Phone
- (850) 951-4556
- Fax
- (850) 892-7079
- NPI assigned
- Sep 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | FLME0025250 | FL | Primary |
Addresses
Primary practice location
4415 Highway 331 Soutn
Defuniak Springs, FL 32435
Mailing address
4415 Highway 331 Soutn
Defuniak Springs, FL 32435
Phone (850) 951-4556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FLME0025250 | FL | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609971910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4415 HIGHWAY 331 SOUTN",
"city": "DEFUNIAK SPRINGS",
"state": "FL",
"postal_code": "32435",
"telephone_number": "850-951-4556",
"fax_number": "850-892-7079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4415 HIGHWAY 331 SOUTN",
"city": "DEFUNIAK SPRINGS",
"state": "FL",
"postal_code": "32435",
"telephone_number": "850-951-4556",
"fax_number": "850-892-7079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REODICA",
"first_name": "SOLOMON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "FLME0025250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Defuniak Springs, FL
- Larry Dean Rafey, PA-C
- Michael Clayton Ramsay, CRNA
- Gloria Ann Ray
- Kimberly Denise Ray, LMHC
- Renal Care Group of the Southeast, Inc. (Fresenius Medical Care Defuniak Springs)
- Resouces for Human Development, Inc.
- Bridget Brianne Reynolds
- Rocky Mountain Holdings, LLC (Walton Air Rescue)
- Kristen Obermeyer Rodriguez, EDS, BCBA
- John Michael Roehm, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.