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Organization
SOLACE MEDICAL CARE LLC
Active
Organization
SOLACE MEDICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE QUEZADA (CFO)
(407) 301-8116
Entity
Organization
Contact information
Practice address
1890 PALM BAY RD NE STE 1, PALM BAY, FL 32905-3071
(407) 588-7835
Mailing address
1890 PALM BAY RD NE STE 1, PALM BAY, FL 32905-3071
(321) 327-8336
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/19/2022
Last updated
01/03/2023
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