MEDICARE: SOLID ROCK SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1033726559
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOLID ROCK SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	2809 W 15TH ST
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32401-1358
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2809 W 15TH ST
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32401-1358
Country	:	US
Telephone Number	:	850-867-0279
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ERIN SCHRAMM
Credential	:
Telephone Number	:	850-867-0279

Provider Enumeration Date	:	09/29/2020
Last Update Date	:	09/29/2020

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Directions to “SOLID ROCK SOLUTIONS LLC ” Practice Location

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