Provider Demographics
NPI:1750063939
Name:SOLLA RODRIGUEZ, PAOLA
Entity type:Individual
Prefix:
First Name:PAOLA
Middle Name:
Last Name:SOLLA RODRIGUEZ
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 1:2941 CIALELLA PASS
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34772-8876
Mailing Address - Country:US
Mailing Address - Phone:321-365-5166
Mailing Address - Fax:
Practice Address - Street 1:1633 E VINE ST STE 213
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-3705
Practice Address - Country:US
Practice Address - Phone:407-588-7776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-07
Last Update Date:2025-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ12499235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist