Provider Demographics
NPI:1528871860
Name:SOLIS DE LA PAZ, DAYNETT
Entity type:Individual
Prefix:
First Name:DAYNETT
Middle Name:
Last Name:SOLIS DE LA PAZ
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 1:8918 LEDGESTONE LN
Mailing Address - Street 2:
Mailing Address - City:PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34668-4915
Mailing Address - Country:US
Mailing Address - Phone:727-359-5277
Mailing Address - Fax:
Practice Address - Street 1:8918 LEDGESTONE LN
Practice Address - Street 2:
Practice Address - City:PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34668-4915
Practice Address - Country:US
Practice Address - Phone:727-359-5277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL102783225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist