Robert Lee Solomon Jr. (NPI# 1073960357, PAC ID# 4486940582) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1073960357 |
| PAC ID by PECOS | 4486940582 |
| Professional Enrollment ID | I20190702002845 |
| Full Name | Robert Lee Solomon Jr. |
| Organization Legal Name | MEMORIAL HOSPITAL-WEST VOLUSIA INC |
| Address |
1431 Orange Camp Rd Suite 118 Deland FL 32724-7770 |
| Phone Number | 3867404054 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5991763724 |
| Number of Group Practice Members | 37 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100045 | FLORIDA HOSPITAL DELAND |
| 100072 | FLORIDA HOSPITAL FISH MEMORIAL |
| Address | Phone | Organization |
|---|---|---|
| 1431 Orange Camp Rd, Suite 118, Deland, FL 32724-7770 | 3867404054 | MEMORIAL HOSPITAL-WEST VOLUSIA INC |
| Organization Legal Name | MEMORIAL HOSPITAL-WEST VOLUSIA INC |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sue-ellen Elizabeth Griffith | Family Medicine | Memorial Hospital-west Volusia Inc | 1070 N Stone St A, Adventhealth Medical Group, Deland, FL 32720-0824 |
| Thomas Jude Montaldo | Family Medicine | Memorial Hospital-west Volusia Inc | 701 W Plymouth Ave, Adventhealth Medical Group, Deland, FL 32720-3236 |
| Martin Gino F Prado | Gastroenterology | Memorial Hospital-west Volusia Inc | 1070 N Stone St D, Adventhealth Medical Group, Deland, FL 32720-0824 |
| Rosemarie A Latham | Nurse Practitioner | Memorial Hospital-west Volusia Inc | 151 Victoria Commons Blvd, Suite 104, Deland, FL 32724-7722 |
| Reginald Schutt-aine | Internal Medicine | Memorial Hospital-west Volusia Inc | 701 W Plymouth Ave, Adventhealth Medical Group, Deland, FL 32720-3236 |
| Thomas M Corbyons | General Surgery | Memorial Hospital-west Volusia Inc | 685 Peachwood Dr, Deland, FL 32720-0804 |
| Curt N Rausch | Internal Medicine | Memorial Hospital-west Volusia Inc | 701 W Plymouth Ave, Adventhealth Medical Group, Deland, FL 32720-3236 |
| Joseph B Depeyster | Internal Medicine | Memorial Hospital-west Volusia Inc | 1070 N Stone St A, Adventhealth Medical Group, Deland, FL 32720-0824 |
| Suzanne E Villalobos | Physician Assistant | Memorial Hospital-west Volusia Inc | 701 W Plymouth Ave, Adventhealth Medical Group, Deland, FL 32720-3236 |
| Candice M Ings-jackson | Nurse Practitioner | Memorial Hospital-west Volusia Inc | 701 W Plymouth Ave, Adventhealth Medical Group, Deland, FL 32720-3236 |
| Street Address |
1431 ORANGE CAMP RD SUITE 118 |
| City | DELAND |
| State | FL |
| Zip | 32724-7770 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Damaris A Age | Physician Assistant | Atlantic Ear, Nose and Throat, Pa | 1431 Orange Camp Rd, Suite 112, Deland, FL 32724-7770 |
| Daniel L Rothbaum | Otolaryngology | Atlantic Ear, Nose and Throat, Pa | 1431 Orange Camp Rd, Suite 112, Deland, FL 32724-7770 |
| Devang M Shah | Otolaryngology | Atlantic Ear, Nose and Throat, Pa | 1431 Orange Camp Rd, Suite 112, Deland, FL 32724-7770 |
| Natasha L Taylor | Physician Assistant | Atlantic Ear, Nose and Throat, Pa | 1431 Orange Camp Rd, Suite 112, Deland, FL 32724-7770 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah Jarnagin | Physical Therapy | Healthpro Heritage Rehab and Fitness LLC | 350 E International Speedway Blvd, Deland, FL 32724-2402 |
| Jane Frances Hollen | Occupational Therapy | Healthpro Heritage Rehab and Fitness LLC | 350 E International Speedway Blvd, Deland, FL 32724-2402 |
| Ann E Arnold | Occupational Therapy | Healthpro Heritage Rehab and Fitness LLC | 350 E International Speedway Blvd, Deland, FL 32724-2402 |
| Kimberly T Dever | Speech Language Pathologist | Healthpro Heritage Rehab and Fitness LLC | 350 E International Speedway Blvd, Deland, FL 32724-2402 |
| Jackie W Westfall | General Practice | Med Equity Partners LLC | 2370 E International Speedway Blvd, Deland, FL 32724-2744 |
| Lisa R Rose | Family Medicine | Med Equity Partners LLC | 2370 E International Speedway Blvd, Deland, FL 32724-2744 |
| Stanley F Stockhammer Jr. | Family Practice | Stanley F. Stockhammer, Jr. D.o., P.a. | 2370 E International Speedway Blvd, Deland, FL 32724-2744 |
| Christopher W Jordan | Chiropractic | 334 E Church St, Deland, FL 32724-4309 | |
| Trevor W Maxwell | Chiropractic | 141 E Indiana Ave, Suite B, Deland, FL 32724-4329 | |
| Mohan L Sharma | Internal Medicine | 229 E Rich Ave, Deland, FL 32724-4357 | |
| Find all physicians in zip 32724 | |||
| City | DELAND |
| Zip Code | 32724 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | DELAND + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.