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NPI Code Detail

MEDICARE: SOLARIS HEALTHCARE PLANT CITY LLC

MEDICARE: SOLARIS HEALTHCARE PLANT CITY LLC
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
1314000000XSkilled Nursing Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649641234
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOLARIS HEALTHCARE PLANT CITY LLC
Provider Business Mailing Address
First Line : PO BOX 3310
Second Line :
City : WINDERMERE
State : FL
Zip : 34786-3310
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 701 N WILDER RD
Second Line :
City : PLANT CITY
State : FL
Zip : 33566-7547
Country : US
Telephone Number : 813-752-3611
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : ASHLEY PARKER
Credential :
Telephone Number : 813-752-3611
Provider Enumeration Date : 10/08/2015
Last Update Date : 12/11/2024

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Directions to “SOLARIS HEALTHCARE PLANT CITY LLC ” Practice Location

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