Healthcare Provider Details

I. General information

NPI: 1275199713
Provider Name (Legal Business Name): CAMILLE SOLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2019
Last Update Date: 05/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92 W MILLER ST # MP318
ORLANDO FL
32806-2032
US

IV. Provider business mailing address

706 SECT EL CONDADITO
BARCELONETA PR
00617-3184
US

V. Phone/Fax

Practice location:
  • Phone: 321-841-7496
  • Fax:
Mailing address:
  • Phone: 787-597-6336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0218X
TaxonomyPediatric Oncology Registered Nurse
License NumberRN9336670
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number28352
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: