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General NPI Number Information
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NPI Number | 1891263141
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Entity Type | Organization
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Legal Business Name | SOLARIS REHAB, LLC
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Dates
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Enumeration Date | 11/05/2018
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 1050 SW 24TH AVE
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-7601
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Country | US
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Telephone | 239-488-1583
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2386
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City | BONITA SPRINGS
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State | FL
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Zip | 34133-2386
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Country | US
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Telephone | 239-488-1583
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PATTI CARLSON
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Credential |
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Telephone | 239-206-8187
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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