Organization
SOLANTIC OF JACKSONVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA PERALTA (VP REVENUE ACCOUNTING)
(615) 600-4072
Entity
Organization
Contact information
Practice address
1544 COUNTY ROAD 220 STE 100, ORANGE PARK, FL 32003-4991
(904) 830-9009
(904) 872-8412
Mailing address
115 EASTPARK DR STE 303, BRENTWOOD, TN 37027-7548
(615) 600-4074
(615) 309-3341
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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