Healthcare Provider Details

I. General information

NPI: 1861284168
Provider Name (Legal Business Name): SOLACE CARE & WELLNESS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2025
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1202 SACRAMENTO ST
DELTONA FL
32725-8420
US

IV. Provider business mailing address

1202 SACRAMENTO ST
DELTONA FL
32725-8420
US

V. Phone/Fax

Practice location:
  • Phone: 407-900-1288
  • Fax:
Mailing address:
  • Phone: 407-900-1288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SOL ANGEL COWART
Title or Position: APRN
Credential:
Phone: 407-900-1288