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Organization
SOLARIS REHAB, LLC
Active
Organization
SOLARIS REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTI CARLSON (PRESIDENT)
(239) 206-8187
Entity
Organization
Contact information
Practice address
8460 MURANO DEL LAGO DR, ESTERO, FL 34135-8863
(239) 488-1583
Mailing address
PO BOX 2386, BONITA SPRINGS, FL 34133-2386
(239) 488-1583
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
686902
MEDICARE PTAN
FL
Enumeration date
04/20/2016
Last updated
02/19/2026
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