Basic Information
| Provider Information | |||||||||
| NPI: | 1609105246 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SOLITO | ||||||||
| FirstName: | TRICIA | ||||||||
| MiddleName: | K' | ||||||||
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| Credential: | DNP, ARNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 20 SAN FILIPPO DR SE | ||||||||
| Address2: | |||||||||
| City: | PALM BAY | ||||||||
| State: | FL | ||||||||
| PostalCode: | 329092200 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3217258300 | ||||||||
| FaxNumber: | 3217251555 | ||||||||
| Practice Location | |||||||||
| Address1: | 20 SAN FILIPPO DR SE | ||||||||
| Address2: | |||||||||
| City: | PALM BAY | ||||||||
| State: | FL | ||||||||
| PostalCode: | 329092200 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3217258300 | ||||||||
| FaxNumber: | 3217251555 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/10/2009 | ||||||||
| LastUpdateDate: | 12/30/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/15/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RE0101X | ARNP9342490 | FL | N | Allopathic & Osteopathic Physicians | Internal Medicine | Endocrinology, Diabetes & Metabolism | 363L00000X | 3992 | SC | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 363LA2100X | 9342490 | FL | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Acute Care | 363LA2100X | ARNP9342490 | FL | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Acute Care |
No ID Information.