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Organization
SOLACE MEDICAL GROUP LLC
Active
Organization
SOLACE MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS ALVARADO MD (CMO)
(407) 717-4159
Entity
Organization
Contact information
Practice address
4739 OLD CANOE CREEK RD, SAINT CLOUD, FL 34769-1400
(321) 327-8336
Mailing address
10524 MOSS PARK RD STE 204-750, ORLANDO, FL 32832-5898
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/22/2023
Last updated
07/14/2023
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