NPIMap

Organization Active NPI

Solantic/South FL LLC

  • Urgent Care Clinic/Center
  • Port St Lucie, FL
National Provider Identifier
1831864792
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
SOLANTIC/SOUTH FL LLC
Practice address
784 E Prima Vista Blvd
Port St Lucie, FL 34952-2271
Phone
(772) 878-7311
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

784 E Prima Vista Blvd
Port St Lucie, FL 34952-2271

Mailing address

115 Eastpark Dr Ste 300
Brentwood, TN 37027-2311
Phone (904) 600-4100

Other names 1

  • CareSpot- Port St. Lucie Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Solanticsouth FL LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

784 E Prima Vista Blvd
Port St Lucie, FL 34952
Phone (772) 878-7311

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": "1831864792",
    "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": "904-600-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 E PRIMA VISTA BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349522271",
            "telephone_number": "772-878-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLANTIC/SOUTH FL 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- Port St. Lucie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port St Lucie, 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.