NPIMap

Organization Active NPI

Solantic of Jacksonville, LLC

Doing business as CareSpot- Fleming Island

  • Urgent Care Clinic/Center
  • Orange Park, FL
National Provider Identifier
1083384861
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
SOLANTIC OF JACKSONVILLE, LLC
Doing business as
CareSpot- Fleming Island
Practice address
1544 County Road 220 # 100
Orange Park, FL 32003-4991
Phone
(904) 830-9009
Fax
(904) 872-8412
NPI assigned
Sep 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sierra Manning
Title
Credentialing Coordinator
Phone
(904) 900-5436

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1544 County Road 220 # 100
Orange Park, FL 32003-4991

Mailing address

115 Eastpark Dr Ste 300
Brentwood, TN 37027-2311
Phone (615) 600-4100

Other names 1

  • CareSpot- Fleming Island Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2229929Carespot - Fleming Island1544 County Road 220 Ste 100, Orange Park, FL 32003Certificate of waiverJul 18, 2027

National Provider Directory

National Provider Directory
Tax ID family
Solantic Urgent Care23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Locations

1544 County Road 220
#100
Orange Park, FL 32003
Phone (904) 830-9009

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1083384861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 EASTPARK DR STE 300",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272311",
            "telephone_number": "615-600-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 COUNTY ROAD 220 # 100",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320034991",
            "telephone_number": "904-830-9009",
            "fax_number": "904-872-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLANTIC OF JACKSONVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "SIERRA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "904-900-5436"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareSpot- Fleming Island",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.