Provider Demographics
NPI:1902499437
Name:SOLDAINI, LACI CAITLIN (FNP)
Entity Type:Individual
Prefix:
First Name:LACI
Middle Name:CAITLIN
Last Name:SOLDAINI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2061 ENGLEWOOD RD STE 5
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34223-1749
Mailing Address - Country:US
Mailing Address - Phone:941-473-8881
Mailing Address - Fax:941-475-0801
Practice Address - Street 1:2061 ENGLEWOOD RD STE 5
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:FL
Practice Address - Zip Code:34223-1749
Practice Address - Country:US
Practice Address - Phone:941-473-8881
Practice Address - Fax:941-475-0801
Is Sole Proprietor?:No
Enumeration Date:2021-02-16
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11011605363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily