# SOLANTIC OF JACKSONVILLE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CareSpot Express Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407893100
- **Authorized official:** WEBSTER GOLINKIN (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (919) 550-0821

## Contact information

- **Practice address:** 151 PINE LAKE DRIVE, SUITE B, PONTE VEDRA, FL 32081
- **Practice address phone:** (904) 543-3677
- **Mailing address:** 10151 DEERWOOD PARK BLVD STE 200, JACKSONVILLE, FL 32256-0566
- **Mailing address phone:** (904) 854-1545

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/01/2006
- **Last updated:** 11/02/2023