NPIMap

Organization Active NPI

Solantic of Jacksonville, LLC

Doing business as CareSpot-Oakleaf

  • Urgent Care Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1629748918
Registry record updated Sep 17, 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-Oakleaf
Practice address
9680 Argyle Forest Blvd Ste 34
Jacksonville, FL 32222-2847
Phone
(904) 569-7771
Fax
(904) 990-1340
NPI assigned
Sep 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 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

9680 Argyle Forest Blvd Ste 34
Jacksonville, FL 32222-2847

Mailing address

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

Other names 1

  • CareSpot-Oakleaf 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
10D2230923Carespot - Oakleaf9680 Argyle Forest Blvd Ste 34, Jacksonville, FL 32222Certificate of waiverJul 28, 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

9680 Argyle Forest Blvd
Ste 34
Jacksonville, FL 32222
Phone (904) 569-7771

NPI Registry JSON

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1629748918",
    "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": "9680 ARGYLE FOREST BLVD STE 34",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322222847",
            "telephone_number": "904-569-7771",
            "fax_number": "904-990-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLANTIC OF JACKSONVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "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": [
        {
            "organization_name": "CareSpot-Oakleaf",
            "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 Sep 17, 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.