=====================================================
General NPI Number Information
=====================================================
NPI Number | 1053024448
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CARMEN DE LA CARIDAD SOLANO ACUNA FNP-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/30/2022
-----------------------------------------------------
Last Update Date | 03/23/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2888 RINGLING BLVD UNIT CD
-----------------------------------------------------
City | SARASOTA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34237-5331
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-270-6853
-----------------------------------------------------
Fax | 941-388-7292
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2888 RINGLING BLVD UNIT CD
-----------------------------------------------------
City | SARASOTA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34237-5331
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 862-706-8537
-----------------------------------------------------
Fax | 941-388-7292
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 11023596
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------