Solantic Of Jacksonville, LLC
Clinic/Center, Urgent Care in Yulee, FL. Organization (NPI-2).
NPI number1902574635
StatusActive
Last updated in NPPESAug 30, 2021
Details
- NPI
- 1902574635
- Entity type
- Organization (NPI-2)
- Legal business name
- Solantic Of Jacksonville, LLC
- Organization subpart
- No
- Enumeration date
- Aug 30, 2021
- Certification date
- Aug 12, 2021
- Last updated
- Aug 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QU0200X | Clinic/Center, Urgent Care | – | – | Yes |
Other names
- Carespot-Yulee (Doing Business As)
Practice location
463941 Sr 200Yulee, FL 32097
Phone 904-572-1959
Mailing address
115 Eastpark DrBrentwood, TN 37027-7548
Phone 615-600-4100
Authorized official
Sierra Manning
Credentialing Coordinator
9049005436
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