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General NPI Number Information
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NPI Number | 1780287219
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Entity Type | Individual
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Provider Name | DAYRA LIZ SOSTRE SOLIS DC
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Gender | Female
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Dates
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Enumeration Date | 11/18/2020
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Last Update Date | 11/18/2020
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Provider Practice Location Address
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Address Line | 115 E LAKE MARY BLVD
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City | SANFORD
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State | FL
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Zip | 32773-7111
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Country | US
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Telephone | 407-942-3258
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Fax | 407-942-3316
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Provider Business Mailing Address
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Address Line | 4483 BLUE ROCK DR
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City | SANFORD
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State | FL
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Zip | 32771-9658
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Country | US
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Telephone | 939-257-1023
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH13294
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License Number State | FL
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