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General NPI Number Information
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NPI Number | 1780491712
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Entity Type | Organization
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Legal Business Name | SOL MEDICAL CENTER LLC
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Dates
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Enumeration Date | 12/12/2024
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 4710 N HABANA AVE STE 304
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City | TAMPA
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State | FL
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Zip | 33614-7151
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Country | US
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Telephone | 813-930-5011
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Fax | 813-930-5007
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Provider Business Mailing Address
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Address Line | 4710 N HABANA AVE STE 304
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City | TAMPA
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State | FL
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Zip | 33614-7151
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Country | US
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Telephone | 813-930-5011
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Fax | 813-930-5007
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Authorized Official
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Title or Position | MANAGER MEMBER
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Name | LIAMARELIS HURTADO HERNANDEZ
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Credential |
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Telephone | 813-693-8034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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