Organization
SHANDS/SOLANTIC JOINT VENTURE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WEBSTER GOLINKIN (CHIEF EXECUTIVE OFFICER)
(919) 550-0821
Entity
Organization
Contact information
Practice address
720 SW 2ND AVE., 160A, GAINESVILLE, FL 32601
(352) 240-8000
(352) 377-6039
Mailing address
10151 DEERWOOD PARK BLVD STE 200, JACKSONVILLE, FL 32256-0566
(904) 854-1545
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
N/A
FL
Other
Enumeration date
05/11/2009
Last updated
11/02/2023
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