Active NPI
Mabel Rosa Sola, MD
- General Practice Physician
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 14932
- Practice address
- 20 E Melbourne Ave Ste 101
Melbourne, FL 32901-5970 - Phone
- (321) 312-1167
- Fax
- (321) 312-1201
- NPI assigned
- Mar 14, 2006
- Last updated
- Jul 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 14932 | PR | Primary |
Addresses
Primary practice location
20 E Melbourne Ave Ste 101
Melbourne, FL 32901-5970
Mailing address
601 S Harbour Island Blvd Ste 200
Tampa, FL 33602-5925
Phone (800) 480-5243
Other practice location 1
790 Buenaventura Blvd
Kissimmee, FL 34743-8128
Phone (407) 344-9959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
20 E Melbourne Ave
Suite 101
Melbourne, FL 32901-5970
Phone (321) 312-1167
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14932 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Medical Associates LLC | Current | Accepting new patients | |
| Idelis Fedeslinda Arias de la Torre | General Practice | Past | Accepting new patients |
| Orlando Family Physicians, LLC | General Practice | Past | Accepting new patients |
Locations
13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900
20 E Melbourne Ave
Ste 101
Melbourne, FL 32901
Phone (321) 312-1167
601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- mabel.sola@sl.eclinicaldirectplus.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Seffner, FL
- NPI 1639747595
-
- General Practice Physician
- Orlando, FL
- NPI 1912579673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1568431419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 S HARBOUR ISLAND BLVD STE 200",
"city": "TAMPA",
"state": "FL",
"postal_code": "336025925",
"telephone_number": "800-480-5243",
"fax_number": "800-928-7449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 E MELBOURNE AVE STE 101",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329015970",
"telephone_number": "321-312-1167",
"fax_number": "321-312-1201"
}
],
"practiceLocations": [
{
"address_1": "790 Buenaventura Blvd",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "347438128",
"country_code": "US",
"telephone_number": "407-344-9959",
"fax_number": "407-344-9971",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSA SOLA",
"first_name": "MABEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "14932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.