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NPI Code Detail

MEDICARE: HMA/SOLANTIC JOINT VENTURE, LLC

MEDICARE: HMA/SOLANTIC JOINT VENTURE, 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
1261QU0200XUrgent Care Clinic/Center

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 : 1689812109
Entity Type Code : Organization
Provider Name (Legal Business Name) : HMA/SOLANTIC JOINT VENTURE, LLC
Provider Business Mailing Address
First Line : 10151 DEERWOOD PARK BLVD STE 200
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-0566
Country : US
Telephone Number : 904-854-1545
Fax Number :
Provider Business Practice Location Address
First Line : 1820 58TH AVE.
Second Line : UNIT 110
City : VERO BEACH
State : FL
Zip : 32966
Country : US
Telephone Number : 772-257-3200
Fax Number : 772-257-0187
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : WEBSTER GOLINKIN
Credential :
Telephone Number : 919-550-0821
Provider Enumeration Date : 01/22/2009
Last Update Date : 11/02/2023

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Directions to “HMA/SOLANTIC JOINT VENTURE, LLC ” Practice Location

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