MEDICARE: SOLACE CARE & WELLNESS, PA

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1861284168
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOLACE CARE & WELLNESS, PA

Provider Business Mailing Address
First Line	:	1202 SACRAMENTO ST
Second Line	:
City	:	DELTONA
State	:	FL
Zip	:	32725-8420
Country	:	US
Telephone Number	:	407-900-1288
Fax Number	:

Provider Business Practice Location Address
First Line	:	1202 SACRAMENTO ST
Second Line	:
City	:	DELTONA
State	:	FL
Zip	:	32725-8420
Country	:	US
Telephone Number	:	407-900-1288
Fax Number	:

Authorized Official
Title or Position	:	APRN
Name	:	SOL ANGEL COWART
Credential	:
Telephone Number	:	407-900-1288

Provider Enumeration Date	:	05/21/2025
Last Update Date	:	05/28/2026

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Directions to “SOLACE CARE & WELLNESS, PA ” Practice Location

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