Provider Demographics
NPI:1033277728
Name:BROWN-SOLTERO, ELISA M (MD)
Entity type:Individual
Prefix:DR
First Name:ELISA
Middle Name:M
Last Name:BROWN-SOLTERO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 460
Mailing Address - Street 2:
Mailing Address - City:TAVERNIER
Mailing Address - State:FL
Mailing Address - Zip Code:33070-0460
Mailing Address - Country:US
Mailing Address - Phone:305-853-0415
Mailing Address - Fax:305-853-1708
Practice Address - Street 1:91550 OVERSEAS HWY
Practice Address - Street 2:MEDICAL ARTS BUILDING SUITE 115
Practice Address - City:TAVERNIER
Practice Address - State:FL
Practice Address - Zip Code:33070-2506
Practice Address - Country:US
Practice Address - Phone:305-853-0415
Practice Address - Fax:305-853-1708
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME 841152084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL263830400Medicaid
FL263830400Medicaid
FLF64542Medicare UPIN