Healthcare Provider Details

I. General information

NPI: 1053259168
Provider Name (Legal Business Name): SOLANGE KATIUSKA CACACE ARNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5926 NW 110TH CT
DORAL FL
33178-2812
US

IV. Provider business mailing address

5926 NW 110TH CT
DORAL FL
33178-2812
US

V. Phone/Fax

Practice location:
  • Phone: 954-243-3289
  • Fax:
Mailing address:
  • Phone: 954-243-3289
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11046202
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: