Healthcare Provider Details

I. General information

NPI: 1659419042
Provider Name (Legal Business Name): SOLIANT HEALTH DBA SUNBELT STAFFING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9929 RACE TRACK RD
TAMPA FL
33626-4458
US

IV. Provider business mailing address

9929 RACE TRACK RD
TAMPA FL
33626-4458
US

V. Phone/Fax

Practice location:
  • Phone: 800-659-1522
  • Fax: 866-360-5916
Mailing address:
  • Phone: 800-659-1522
  • Fax: 866-360-5916

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name: MR. KEN KISTNER
Title or Position: DIRECTOR OF LEAD ACQUISITIONS
Credential:
Phone: 800-659-1522