Provider Demographics
NPI:1780287219
Name:SOSTRE SOLIS, DAYRA LIZ (DC)
Entity type:Individual
Prefix:
First Name:DAYRA LIZ
Middle Name:
Last Name:SOSTRE SOLIS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4483 BLUE ROCK DR
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-9658
Mailing Address - Country:US
Mailing Address - Phone:939-257-1023
Mailing Address - Fax:
Practice Address - Street 1:115 E LAKE MARY BLVD
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32773-7111
Practice Address - Country:US
Practice Address - Phone:407-942-3258
Practice Address - Fax:407-942-3316
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-18
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH13294111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor