MEDICARE: SOLIZ HEALTHCARE SOLUTIONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician
2	363LP2300X	Primary Care Nurse Practitioner

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8724793332	OTHER	AZ	IRS

General Provider Information

NPI Number	:	1902427735
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOLIZ HEALTHCARE SOLUTIONS

Provider Business Mailing Address
First Line	:	16421 N TATUM BLVD STE 206
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-3457
Country	:	US
Telephone Number	:	602-325-5880
Fax Number	:	602-325-5879

Provider Business Practice Location Address
First Line	:	16421 N TATUM BLVD STE 206
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-3457
Country	:	US
Telephone Number	:	602-325-5880
Fax Number	:	602-325-5879

Authorized Official
Title or Position	:	ACNP
Name	:	MRS. FLOR SOLIS
Credential	:	NP
Telephone Number	:	602-335-9961

Provider Enumeration Date	:	05/04/2020
Last Update Date	:	09/10/2021

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