Provider Demographics
NPI:1962374876
Name:SOLOMON, LATOYA LATRICE (LPN)
Entity type:Individual
Prefix:MRS
First Name:LATOYA
Middle Name:LATRICE
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1213 SOUTHERLY PARC LN APT 202
Mailing Address - Street 2:
Mailing Address - City:ORANGE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32763-8080
Mailing Address - Country:US
Mailing Address - Phone:386-307-9380
Mailing Address - Fax:
Practice Address - Street 1:1213 SOUTHERLY PARC LN APT 202
Practice Address - Street 2:
Practice Address - City:ORANGE CITY
Practice Address - State:FL
Practice Address - Zip Code:32763-8080
Practice Address - Country:US
Practice Address - Phone:386-307-9380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-19
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5187350164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse