# SOLANTIC OF JACKSONVILLE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346811486
- **Authorized official:** ANNA PERALTA (VP REVENUE ACCOUNTING)
- **Authorized official phone:** (615) 600-4072

## Contact information

- **Practice address:** 1544 COUNTY ROAD 220 STE 100, ORANGE PARK, FL 32003-4991
- **Practice address phone:** (904) 830-9009
- **Practice address fax:** (904) 872-8412
- **Mailing address:** 115 EASTPARK DR STE 303, BRENTWOOD, TN 37027-7548
- **Mailing address phone:** (615) 600-4074
- **Mailing address fax:** (615) 309-3341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/09/2021
- **Last updated:** 07/09/2021