Edmundo B. Solis, R-PH
Individual provider Active NPI Pharmacist · Surfside, FL
NPI 1770820482 · NPPES record last updated Jan 15, 2013
Key facts
- NPI
- 1770820482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS35328 (FL)
- Practice address
- 9400 Harding Ave
Surfside, FL 33154 - Phone
- (305) 865-4378
- Fax
- (305) 865-6329
- NPI assigned
- Jan 15, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS35328 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Publix Super Markets Inc | Past | Accepting new patients | |
| Publix Super Markets Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS35328 | FL | Yes |
Addresses
Primary practice location
9400 Harding Ave
Surfside, FL 33154
Mailing address
9400 Harding Ave
Surfside, FL 33154-2804
Phone (305) 865-4378
Other providers in Surfside, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.