Healthcare Provider Details

I. General information

NPI: 1104775360
Provider Name (Legal Business Name): DAYMA SOLIS DE LA PAZ P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2026
Last Update Date: 01/22/2026
Certification Date: 01/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4255 73RD AVE N STE G
PINELLAS PARK FL
33781-4546
US

IV. Provider business mailing address

2220 KRISTA LN
BRANDON FL
33511-7240
US

V. Phone/Fax

Practice location:
  • Phone: 727-289-1763
  • Fax: 727-289-1793
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number2945P.A.
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: