MEDICARE: DR. FELIX ALEXANDER SOLEH APRN, PMHNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	11009930	FL

General Provider Information

NPI Number	:	1073126140
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FELIX ALEXANDER SOLEH APRN, PMHNP-C

Provider Business Mailing Address
First Line	:	3333 W 20TH ST
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32254-1703
Country	:	US
Telephone Number	:	904-695-9145
Fax Number	:

Provider Business Practice Location Address
First Line	:	1896 S 14TH ST
Second Line	:
City	:	FERNANDINA BEACH
State	:	FL
Zip	:	32034-1999
Country	:	US
Telephone Number	:	904-310-9652
Fax Number	:	904-467-3143

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2020
Last Update Date	:	07/26/2024

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