Provider Demographics
NPI:1972366201
Name:SOLUTION MEDICAL
Entity type:Organization
Organization Name:SOLUTION MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:RYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-358-5958
Mailing Address - Street 1:3601 W COMMERCIAL BLVD STE 33
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-3321
Mailing Address - Country:US
Mailing Address - Phone:786-774-0388
Mailing Address - Fax:786-840-1303
Practice Address - Street 1:3601 W COMMERCIAL BLVD STE 33
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-3321
Practice Address - Country:US
Practice Address - Phone:786-774-0388
Practice Address - Fax:786-840-1303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-31
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty