Organization
SOL RENEWED HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY ANN SOLOSKY ARNP (OWNER/ FAMILY NURSE PRACTITIONER)
(302) 893-5031
Entity
Organization
Contact information
Practice address
565 STATELY SHOALS TRL, PONTE VEDRA, FL 32081-5049
(302) 893-5031
Mailing address
565 STATELY SHOALS TRL, PONTE VEDRA, FL 32081-5049
(302) 893-5031
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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