Active NPI
Solace Medical Care PB LLC
- Family Medicine Physician
- Palm Bay, FL
National Provider Identifier
1114605706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SOLACE MEDICAL CARE PB LLC
- Practice address
- 1890 Palm Bay Rd NE Ste 1
Palm Bay, FL 32905-3071 - Phone
- (407) 593-2290
- NPI assigned
- Jul 5, 2023
- Last updated
- Jul 10, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jos Quezada
- Title
- Cfo
- Phone
- (407) 301-8116
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1890 Palm Bay Rd NE Ste 1
Palm Bay, FL 32905-3071
Mailing address
10524 Moss Park Rd Ste 204-750
Orlando, FL 32832-5898
National Provider Directory
National Provider DirectoryLocations
10524 Moss Park Rd
Ste 204750
Orlando, FL 32832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688947200000",
"number": "1114605706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10524 MOSS PARK RD STE 204-750",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328325898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1890 PALM BAY RD NE STE 1",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329053071",
"telephone_number": "407-593-2290"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOLACE MEDICAL CARE PB LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-05",
"last_updated": "2023-07-10",
"certification_date": "2023-07-10",
"status": "A",
"authorized_official_last_name": "QUEZADA",
"authorized_official_first_name": "JOS",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "407-301-8116"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.