SOLANTIC OF JACKSONVILLE LLC NPI 1407893100

NPI Information

NPI: 1407893100
Provider Name: SOLANTIC OF JACKSONVILLE, LLC

Doing Business As: CARESPOT EXPRESS HEALTHCARE

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
151 PINE LAKE DRIVE
SUITE B
PONTE VEDRA, FL
ZIP 32081
Phone: (904) 543-3677
Get Directions

SOLANTIC OF JACKSONVILLE, LLC is an urgent care clinic center in Ponte Vedra, FL. SOLANTIC OF JACKSONVILLE, LLC NPI is 1407893100. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Carespot Express Healthcare.

The provider's business location address is:

151 PINE LAKE DRIVE
SUITE B
PONTE VEDRA, FL
ZIP 32081
Phone: (904) 543-3677

The provider's authorized official is Webster Golinkin .
The authorized official title is Chief Executive Officer and has the following contact phone number (919) 550-0821.

The CLIA number assigned to this NPI record is 10D0992325 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 11/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207P00000X	Emergency Medicine		No
2	207Q00000X	Family Medicine		No
3	207R00000X	Internal Medicine		No
4	208D00000X	General Practice		No
5	261QU0200X	Clinic/Center	Urgent Care	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »