Provider Demographics
NPI:1447306170
Name:LALLOUZ, SOLOMON YONA (DC)
Entity type:Individual
Prefix:DR
First Name:SOLOMON
Middle Name:YONA
Last Name:LALLOUZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 N.E. 167 STR
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162
Mailing Address - Country:US
Mailing Address - Phone:305-652-2228
Mailing Address - Fax:305-652-1220
Practice Address - Street 1:85 N.E. 167 STR
Practice Address - Street 2:
Practice Address - City:N.M.B.
Practice Address - State:FL
Practice Address - Zip Code:33162
Practice Address - Country:US
Practice Address - Phone:305-652-2228
Practice Address - Fax:305-652-1220
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0006455111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU48144Medicare UPIN
FL22964 CMedicare ID - Type Unspecified