Healthcare Provider Details

I. General information

NPI: 1760350276
Provider Name (Legal Business Name): SOL WELLNESS GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2025
Last Update Date: 07/05/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4445 W 16TH AVE
HIALEAH FL
33012-7189
US

IV. Provider business mailing address

4445 W 16TH AVE
HIALEAH FL
33012-7189
US

V. Phone/Fax

Practice location:
  • Phone: 785-378-0192
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LILIAN DUARTE
Title or Position: OWNER
Credential:
Phone: 786-325-0718