MEDICARE: TRACY LYNN SOLLITTO NP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	RN9204630	FL

General Provider Information

NPI Number	:	1205902061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACY LYNN SOLLITTO NP-C

Provider Business Mailing Address
First Line	:	1656 MEDICAL BLVD
Second Line	:	STE. 302
City	:	NAPLES
State	:	FL
Zip	:	34110-1423
Country	:	US
Telephone Number	:	239-200-7981
Fax Number	:	239-513-7923

Provider Business Practice Location Address
First Line	:	6017 PINE RIDGE RD STE 447
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-3956
Country	:	US
Telephone Number	:	239-777-7691
Fax Number	:	239-273-7383

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/25/2006
Last Update Date	:	09/17/2025

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