Solarus Pain and Anesthesia Services, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

ME 107651 Issued in FL

Legal business name

SOLARUS PAIN AND ANESTHESIA SERVICES, LLC

Practice address

1749 NE 26TH St
Suite E
Wilton Manors, FL 33305-1428

Phone

(954) 218-0180

Fax

(954) 306-8844

NPI assigned

Nov 8, 2012

Organization subpart

No

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

Authorized official

Name

Dr. William Alex McClain II, M.D.

Title

Medical Director

Phone

(954) 218-0180

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1750635090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12240 NW 28TH CT",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333231717",
            "telephone_number": "954-218-0180",
            "fax_number": "954-306-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 NE 26TH ST",
            "address_2": "SUITE E",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051428",
            "telephone_number": "954-218-0180",
            "fax_number": "954-306-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLARUS PAIN AND ANESTHESIA SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-08",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "MCCLAIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ALEX",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "954-218-0180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME 107651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004333000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Thomas A Smith, PH.D., LMHC, LMFT
• Deepa Sonpar, M.S.
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• Medical Specialty Clinic/Center in Wilton Manors, FL
• Providers in Wilton Manors, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.