Healthcare Provider Details

I. General information

NPI: 1205163763
Provider Name (Legal Business Name): SOLANKI CARDIOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2009
Last Update Date: 12/29/2022
Certification Date: 12/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2111 SW 20TH PL
OCALA FL
34471-7734
US

IV. Provider business mailing address

2111 SW 20TH PL
OCALA FL
34471-7734
US

V. Phone/Fax

Practice location:
  • Phone: 352-622-4251
  • Fax: 352-245-5474
Mailing address:
  • Phone: 352-622-4251
  • Fax: 352-245-5474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberOS9233
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9101724
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA9101733
License Number StateFL

VIII. Authorized Official

Name: KALPESH HIMAT SOLANKI
Title or Position: OWNER
Credential: DO
Phone: 352-615-0459