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NPI Code Detail

MEDICARE: SOLARIS REHAB, LLC

MEDICARE: SOLARIS REHAB, 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
1261QR0400XRehabilitation Clinic/Center

General Provider Information

NPI Number : 1699460113
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOLARIS REHAB, LLC
Provider Business Mailing Address
First Line : PO BOX 2386
Second Line :
City : BONITA SPRINGS
State : FL
Zip : 34133-2386
Country : US
Telephone Number : 239-488-1583
Fax Number :
Provider Business Practice Location Address
First Line : 1537 NE CEDAR ST
Second Line :
City : JENSEN BEACH
State : FL
Zip : 34957-4808
Country : US
Telephone Number : 239-488-1583
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : PATTI CARLSON
Credential :
Telephone Number : 239-206-8187
Provider Enumeration Date : 04/10/2023
Last Update Date : 02/19/2026

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