Solantic of Jacksonville, LLC
Organization Active NPI Urgent Care Clinic/Center · Ponte Vedra, FL
NPI 1407893100 · NPPES record last updated Nov 2, 2023
Key facts
- NPI
- 1407893100
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- SOLANTIC OF JACKSONVILLE, LLC
- Practice address
- 151 Pine Lake Drive
Suite B
Ponte Vedra, FL 32081 - Phone
- (904) 543-3677
- NPI assigned
- Jun 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Webster Golinkin
- Title
- Chief Executive Officer
- Phone
- (919) 550-0821
Practitioners 281
-
Kristina Agranat, ARNP-BC
-
John Darrell Arce, DNP, FNP-C
-
Nasheed Burgess, PA-C
-
Girija Chandran, M.D.
-
Lynn Cosentino, MD
-
Valerie Dorrian, FNP
-
Stephanie L Dorsey, M.S.N.
-
Jennifer Fowlkes, CRNP, FNP-C
-
Kelly Gendall, MD
-
Robin James, NP-C
-
Melissa Kotziers, PA-C
-
Nadeem Maalouli, M.D.
-
Rosa Daisy Maytin, APRN
-
Michiko Miller, FNP
-
Rene Minnaar, FNP
-
Kelli Knight Overturf, APRN
-
Kelly Shannon Paradise, ARNP
-
Ryan Park, NP
-
James Perin, MD
-
Alex James Roberts, PA-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2170771 | Carespot Express Healthcare | Certificate of waiver | Aug 19, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071120000271 | FL | Part B Supplier - Clinic/Group Practice | 1052409307 |
Receives reassigned benefits from 272 practitioners Practice locations: St Augustine, FL; Yulee, FL; St. Johns, FL; Ponte Vedra, FL; Orange Park, FL; Neptune Beach, FL; Middleburg, FL; Jacksonville, FL |
National Provider Directory
Locations
8705 Perimeter Park Blvd
Ste 2
Jacksonville, FL 32216
Phone (904) 248-3910
4498 Hendricks Ave
Jacksonville, FL 32207
Phone (904) 854-1730
13460 Beach Blvd
Ste 1
Jacksonville, FL 32224
Phone (904) 854-1700
8711 Perimeter Park Blvd
Jacksonville, FL 32216
5913 Normandy Blvd
Ste 4
Jacksonville, FL 32205
Phone (904) 223-2230
1544 County Road 220
Ste 100
Orange Park, FL 32003
Phone (904) 830-9009
2140 Kingsley Ave
Ste 15
Orange Park, FL 32073
Phone (904) 213-0600
151 Pine Lake Dr
Ste B
Ponte Vedra, FL 32081
Phone (904) 543-3677
70 Durbin Pavilion Dr
Ste 101
St Johns, FL 32259
Phone (904) 295-0038
463941 State Road 200
Yulee, FL 32097
Phone (904) 572-1959
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | |||
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | |||
| General Practice Physician |
208D00000X | |||
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
151 Pine Lake Drive
Suite B
Ponte Vedra, FL 32081
Mailing address
10151 Deerwood Park Blvd Ste 200
Jacksonville, FL 32256-0566
Phone (904) 854-1545
Other practice location 1
1021 Cesery Blvd
Jacksonville, FL 32211-5609
Phone (904) 743-2466
Other practice location 2
2401 Monument Rd
Jacksonville, FL 32225-2520
Phone (904) 642-0337
Other practice location 3
13460 Beach Blvd Ste 1
Jacksonville, FL 32224-0301
Phone (904) 854-1700
Other practice location 4
4498 Hendricks Ave
Jacksonville, FL 32207-6326
Phone (904) 854-1730
Other practice location 5
12303 San Jose Blvd
Jacksonville, FL 32223-2640
Phone (904) 288-0277
Other practice location 6
2032 Dunn Ave
Jacksonville, FL 32218-4716
Phone (904) 757-2008
Other practice location 7
5964 Normandy Blvd
Jacksonville, FL 32205-6212
Phone (904) 378-0121
Other practice location 8
8705 Perimeter Park Blvd Ste 2
Jacksonville, FL 32216-6353
Phone (904) 248-3910
Other practice location 9
1708 Blanding Blvd
Middleburg, FL 32068-3836
Phone (904) 406-8240
Other practice location 10
410 Atlantic Blvd
Neptune Beach, FL 32266-4022
Phone (904) 241-0117
Other practice location 11
2140 Kingsley Ave Ste 15
Orange Park, FL 32073-5129
Phone (904) 213-0600
Other practice location 12
70 Durbin Pavilion Dr Ste 101
Saint Johns, FL 32259-4109
Phone (904) 295-0038
Other practice location 13
2095 US Highway 1 S
St Augustine, FL 32086-6000
Phone (904) 429-0001
Other practice location 14
463941 State Road 200
Yulee, FL 32097-6342
Phone (904) 572-1959
Other practice location 15
1544 County Road 220 Ste 100
Orange Park, FL 32003-4991
Phone (904) 830-9009
Other practice location 16
9680 Argyle Forest Blvd Ste 34
Jacksonville, FL 32222-2847
Phone (904) 569-7771
Other names
- CareSpot Express Healthcare
Other providers in Ponte Vedra, FL
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- David Wallace Sorensen
- Southeast Orthopedic Specialists, Inc
- Southeast Orthopedic Specialists, LLC
- Valerie J Spees
- St Johns Eye Associates at Nocatee
All providers in Ponte Vedra, FL · Urgent Care Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.