Individual provider Active NPI

Soleil M Doval, D.C.

  • Chiropractor
  • Altamonte Springs, FL
National Provider Identifier
1689070575
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 11350 Issued in FL
Practice address
940 Centre Circle
Suite 1018
Altamonte Springs, FL 32714
Phone
(407) 789-0600
Fax
(407) 789-0601
NPI assigned
Nov 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 11350 FL Primary

Addresses

Primary practice location

940 Centre Circle
Suite 1018
Altamonte Springs, FL 32714

Mailing address

940 Centre Circle
Suite 1018
Altamonte Springs, FL 32714
Phone (407) 789-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210107002432 FL Practitioner - Chiropractic 2567875784 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 11350FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Health - Daytona Beach, LLC Chiropractor CurrentSince Dec 7, 2020 Accepting new patients

Locations

701 Ridgewood Ave
#B
Holly Hill, FL 32117
Phone (386) 775-6879

2415 S Volusia Ave
Ste A2
Orange City, FL 32763
Phone (386) 775-0905

2275 N Volusia Ave
Ste 100
Orange City, FL 32763
Phone (386) 775-6879

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1689070575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 CENTRE CIRCLE",
            "address_2": "SUITE 1018",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32714",
            "telephone_number": "407-789-0600",
            "fax_number": "407-789-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 CENTRE CIRCLE",
            "address_2": "SUITE 1018",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32714",
            "telephone_number": "407-789-0600",
            "fax_number": "407-789-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOVAL",
        "first_name": "SOLEIL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-05",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 11350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.