Healthcare Provider Details

I. General information

NPI: 1043148372
Provider Name (Legal Business Name): SOLVA LIFE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

15165 NW 77TH AVE
MIAMI LAKES FL
33014-7801
US

IV. Provider business mailing address

4000 SW 141ST AVE
MIRAMAR FL
33027-3283
US

V. Phone/Fax

Practice location:
  • Phone: 305-332-2065
  • Fax:
Mailing address:
  • Phone: 305-332-2065
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MAIBYS MOLINA
Title or Position: PARTNER
Credential: ARNP
Phone: 305-332-2065