Individual provider Active NPI

Gabriela N/a Solomon

  • Family Nurse Practitioner
  • Hollywood, FL
National Provider Identifier
1649097510
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
09240487 Issued in FL
Practice address
1825 N 17TH CT Apt 10
Hollywood, FL 33020-2855
Phone
(954) 226-3149
NPI assigned
Sep 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 09240487 FL Primary
Family Nurse Practitioner 363LF0000X 11035699 FL

Addresses

Primary practice location

1825 N 17TH CT Apt 10
Hollywood, FL 33020-2855

Mailing address

1825 N 17TH CT Apt 10
Hollywood, FL 33020-2855
Phone (954) 226-3149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250807000146 FL Practitioner - Nurse Practitioner 3375041692 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
09240487FLMDFamily Nurse Practitioner
11035699FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Surgery and Endoscopy Centers LLC CurrentSince May 18, 2025 Accepting new patients
Mobile Anesthesia Associates LLC CurrentSince May 18, 2025 Accepting new patients

Locations

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

7800 Sheridan St
Pembroke Pines, FL 33024
Phone (954) 962-9650

601 N Flamingo Rd
Ste 207
Pembroke Pines, FL 33028
Phone (654) 963-6363

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

111 SE Osceola St
Ste 201
Stuart, FL 34994

325 Avenue B NW
Winter Haven, FL 33881
Phone (800) 364-9216

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1649097510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 N 17TH CT APT 10",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330202855",
            "telephone_number": "954-226-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 N 17TH CT APT 10",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330202855",
            "telephone_number": "954-226-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "GABRIELA",
        "middle_name": "N/A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "09240487",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11035699",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.