Soltice Medical Group Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SOLTICE MEDICAL GROUP INC.

Practice address

4851 Tamiami TRL N Ste 200
Naples, FL 34103-3098

Phone

(773) 977-2101

NPI assigned

Sep 9, 2021

Organization subpart

No

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

Authorized official

Name

Anthony Mark Delizo III

Title

President

Phone

(773) 977-2101

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1457020703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4851 TAMIAMI TRL N STE 200",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341033098",
            "telephone_number": "773-977-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 TAMIAMI TRL N STE 200",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341033098",
            "telephone_number": "773-977-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLTICE MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "DELIZO III",
        "authorized_official_first_name": "ANTHONY MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-977-2101"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "markpbs2020@gmail.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4851 Tamiami Trl N Ste 200",
            "city": "Naples",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341033098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• General Practice Physician in Naples, FL
• Providers in Naples, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.