Organization Active NPI

Soleil Surgical LLC

  • Vascular Surgery Physician
  • Kissimmee, FL
National Provider Identifier
1972901585
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME121162 Issued in FL
Legal business name
SOLEIL SURGICAL LLC
Practice address
1205 N Central Ave
Kissimmee, FL 34741-4407
Phone
(407) 343-4983
NPI assigned
Dec 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Authorized official

Name
Julio Angel Calderin, M.D.NPI 1669688834
Title
Owner
Phone
(903) 243-6618

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X ME121162 FL Primary

Addresses

Primary practice location

1205 N Central Ave
Kissimmee, FL 34741-4407

Mailing address

720 W Oak St
210
Kissimmee, FL 34741-4989
Phone (903) 243-6618

Other practice location 1

720 W Oak St Ste 170
Kissimmee, FL 34741-4990
Phone (407) 343-4983

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150227000861 FL Part B Supplier - Clinic/Group Practice 9931425444 Receives reassigned benefits from 3 practitioners
Practice locations: Kissimmee, FL

National Provider Directory

National Provider Directory

Locations

1205 N Central Ave
Kissimmee, FL 34741
Phone (407) 343-4983

720 W Oak St
Ste 210
Kissimmee, FL 34741
Phone (407) 343-4983

1205 N Central Ave
Ste 1
Kissimmee, FL 34741

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1972901585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 W OAK ST",
            "address_2": "210",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414989",
            "telephone_number": "903-243-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 N CENTRAL AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414407",
            "telephone_number": "407-343-4983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 W Oak St Ste 170",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347414990",
            "country_code": "US",
            "telephone_number": "407-343-4983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOLEIL SURGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-12",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "CALDERIN",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-243-6618",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME121162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.