MEDICARE: SOL COMMUNITY CENTER CORP

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	261QP2300X	Primary Care Clinic/Center
3	261QC1500X	Community Health Clinic/Center

General Provider Information

NPI Number	:	1396603619
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOL COMMUNITY CENTER CORP

Provider Business Mailing Address
First Line	:	840 SW 4TH ST STE 6
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33991-4417
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	840 SW 4TH ST STE 6
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33991-4417
Country	:	US
Telephone Number	:	786-405-5150
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LEIDY EXPOSITO
Credential	:
Telephone Number	:	786-534-4979

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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Directions to “SOL COMMUNITY CENTER CORP ” Practice Location

Language	Start Address	Practice Location

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