Organization Active NPI

Shands/Solantic Joint Venture, LLC

  • Urgent Care Clinic/Center
  • Gainesville, FL
National Provider Identifier
1740955681
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
SHANDS/SOLANTIC JOINT VENTURE, LLC
Practice address
3925 NW 43Rd St
Gainesville, FL 32606-4565
Phone
(352) 371-1777
Fax
(352) 371-0298
NPI assigned
Aug 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 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 Primary

Addresses

Primary practice location

3925 NW 43Rd St
Gainesville, FL 32606-4565

Mailing address

115 Eastpark Dr
Brentwood, TN 37027-7548
Phone (615) 600-4100

Other names 1

  • CareSpot-Gainesville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carespot-Archer Road3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1740955681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 EASTPARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277548",
            "telephone_number": "615-600-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 NW 43RD ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326064565",
            "telephone_number": "352-371-1777",
            "fax_number": "352-371-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANDS/SOLANTIC JOINT VENTURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareSpot-Gainesville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.