Organization
SOLANTIC OF SOUTH FL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN BOWLING (CEO)
(904) 223-2330
Entity
Organization
Contact information
Practice address
784 E PRIMA VISTA BLVD, PORT ST LUCIE, FL 34952-2271
(772) 878-7311
(772) 878-7321
Mailing address
8711 PERIMETER PARK BLVD, SUITE 6, JACKSONVILLE, FL 32216-6388
(904) 223-2330
(904) 425-4356
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
HCC 5535
FL
Other
Enumeration date
03/26/2010
Last updated
03/26/2010
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