Provider Demographics
NPI:1609105246
Name:SOLITO, TRICIA K' (DNP, ARNP)
Entity Type:Individual
Prefix:
First Name:TRICIA
Middle Name:K'
Last Name:SOLITO
Suffix:
Gender:F
Credentials:DNP, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 SAN FILIPPO DR SE
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32909-2200
Mailing Address - Country:US
Mailing Address - Phone:321-725-8300
Mailing Address - Fax:321-725-1555
Practice Address - Street 1:20 SAN FILIPPO DR SE
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32909-2200
Practice Address - Country:US
Practice Address - Phone:321-725-8300
Practice Address - Fax:321-725-1555
Is Sole Proprietor?:No
Enumeration Date:2009-12-10
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9342490207RE0101X, 363LA2100X
SC3992363L00000X
FL9342490363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner