Organization Active NPI

Solace Medical Care LLC

  • Family Medicine Physician
  • Palm Bay, FL
National Provider Identifier
1205554763
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SOLACE MEDICAL CARE LLC
Practice address
1890 Palm Bay Rd NE Ste 1
Palm Bay, FL 32905-3071
Phone
(407) 588-7835
NPI assigned
Aug 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Authorized official

Name
Jose Quezada
Title
Cfo
Phone
(407) 301-8116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1890 Palm Bay Rd NE Ste 1
Palm Bay, FL 32905-3071

Mailing address

1890 Palm Bay Rd NE Ste 1
Palm Bay, FL 32905-3071
Phone (321) 327-8336

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@solacemdmedical.com

National Provider Directory

National Provider Directory

Locations

10524 Moss Park Rd
Ste 204750
Orlando, FL 32832

2040 Palm Bay Rd NE
Ste 5
Palm Bay, FL 32905

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1205554763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 PALM BAY RD NE STE 1",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053071",
            "telephone_number": "321-327-8336"
        },
        {
            "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": "407-588-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLACE MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-19",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "QUEZADA",
        "authorized_official_first_name": "JOSE",
        "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": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@solacemdmedical.com",
            "affiliation": "N",
            "address_1": "2040 Palm Bay Rd NE Ste 5",
            "city": "Palm Bay",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329052976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 3, 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.

Verify at the official NPI Registry.