NPIMap

Organization Active NPI

Solantic of Jacksonville, LLC

Doing business as CareSpot-Durbin Park

  • Urgent Care Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1427723436
Registry record updated Aug 11, 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-Durbin Park
Practice address
70 Durbin Pavilion Dr
Jacksonville, FL 32259-4120
Phone
(904) 295-0038
Fax
(904) 990-1744
NPI assigned
Aug 11, 2021
Last updated
Aug 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 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 NU Primary

Addresses

Primary practice location

70 Durbin Pavilion Dr
Jacksonville, FL 32259-4120

Mailing address

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

Other names 1

  • CareSpot-Durbin Park 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
10D2162050Carespot - Durbin Park70 Durbin Pavilion Dr Ste 101, St Johns, FL 32259Certificate of waiverFeb 14, 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

70 Durbin Pavilion Dr
Jacksonville, FL 32259
Phone (904) 295-0038

NPI Registry JSON

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1427723436",
    "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": "70 DURBIN PAVILION DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322594120",
            "telephone_number": "904-295-0038",
            "fax_number": "904-990-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLANTIC OF JACKSONVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareSpot-Durbin Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.