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Organization
SOLARIS ORTHO, LLC
Active
Organization
SOLARIS ORTHO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE VERNON (OWNER)
(813) 707-4040
Entity
Organization
Contact information
Practice address
1112 W SHELL POINT RD STE 304, RUSKIN, FL 33570-3400
(813) 645-4003
Mailing address
1112 W SHELL POINT RD STE 304, RUSKIN, FL 33570-3400
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
335E00000X
Prosthetic/Orthotic Supplier
—
NULL
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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