# SHANDS/SOLANTIC JOINT VENTURE, LLC

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

## Provider details

- **NPI number:** 1558595223
- **Authorized official:** WEBSTER GOLINKIN (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (919) 550-0821

## Contact information

- **Practice address:** 720 SW 2ND AVE., 160A, GAINESVILLE, FL 32601
- **Practice address phone:** (352) 240-8000
- **Practice address fax:** (352) 377-6039
- **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 |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | N/A | FL | Yes |

## Other

- **Enumeration date:** 05/11/2009
- **Last updated:** 11/02/2023