NPIMap

Organization Active NPI

Solantic of Jacksonville, LLC

  • Urgent Care Clinic/Center
  • Orange Park, FL
National Provider Identifier
1346811486
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
SOLANTIC OF JACKSONVILLE, LLC
Practice address
1544 County Road 220 Ste 100
Orange Park, FL 32003-4991
Phone
(904) 830-9009
Fax
(904) 872-8412
NPI assigned
Jul 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Authorized official

Name
Anna Peralta
Title
VP Revenue Accounting
Phone
(615) 600-4072

Specialties & licenses 1

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

Addresses

Primary practice location

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

Mailing address

115 Eastpark Dr Ste 303
Brentwood, TN 37027-7548
Phone (615) 600-4074

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

115 Eastpark Dr
Ste 303
Brentwood, TN 37027

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1346811486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 EASTPARK DR STE 303",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277548",
            "telephone_number": "615-600-4074",
            "fax_number": "615-309-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 COUNTY ROAD 220 STE 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": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "PERALTA",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "VP REVENUE ACCOUNTING",
        "authorized_official_telephone_number": "615-600-4072"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 9, 2021; 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.