Provider Demographics
NPI:1487320966
Name:SOLIZ, NAHAT (LMT)
Entity type:Individual
Prefix:
First Name:NAHAT
Middle Name:
Last Name:SOLIZ
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 EASTBROOK BLVD
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-3016
Mailing Address - Country:US
Mailing Address - Phone:407-721-0208
Mailing Address - Fax:
Practice Address - Street 1:2221 LEE RD STE 23
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-1864
Practice Address - Country:US
Practice Address - Phone:407-721-0208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA92741225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist