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NPI Code Detail

MEDICARE: SOLARIS HEALTH & WELLNESS LLC

MEDICARE: SOLARIS HEALTH & WELLNESS 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
1224Z00000XOccupational Therapy Assistant
2225200000XPhysical Therapy Assistant
3225700000XMassage Therapist
4225X00000XOccupational Therapist
5235Z00000XSpeech-Language Pathologist
6225100000XPhysical Therapist

General Provider Information

NPI Number : 1508124371
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOLARIS HEALTH & WELLNESS LLC
Provider Business Mailing Address
First Line : PO BOX 110881
Second Line :
City : NAPLES
State : FL
Zip : 34108-0115
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9520 BONITA BEACH RD SE
Second Line :
City : BONITA SPRINGS
State : FL
Zip : 34135-4517
Country : US
Telephone Number : 239-919-1142
Fax Number : 866-393-8853
Authorized Official
Title or Position : PRESIDENT
Name : WILLIAM CONFER
Credential :
Telephone Number : 239-919-1142
Provider Enumeration Date : 04/30/2012
Last Update Date : 04/30/2012

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Directions to “SOLARIS HEALTH & WELLNESS LLC ” Practice Location

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