Healthcare Provider Details

I. General information

NPI: 1457097156
Provider Name (Legal Business Name): MONICA A SOLIMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2022
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3226 LAKE WASHINGTON RD STE 16
MELBOURNE FL
32934-7620
US

IV. Provider business mailing address

1449 BLUEWATER LN
ROCKLEDGE FL
32955-4627
US

V. Phone/Fax

Practice location:
  • Phone: 321-255-1991
  • Fax:
Mailing address:
  • Phone: 201-844-3949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN31948
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: