Provider Demographics
NPI:1285917153
Name:DORLEUS, SOLFINE
Entity type:Individual
Prefix:
First Name:SOLFINE
Middle Name:
Last Name:DORLEUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 S BUMBY AVE STE 120
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-7412
Mailing Address - Country:US
Mailing Address - Phone:321-352-4246
Mailing Address - Fax:
Practice Address - Street 1:380 SEMORAN COMMERCE PL STE 209
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-4684
Practice Address - Country:US
Practice Address - Phone:407-703-4381
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-27
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL023370800Medicaid