| Solaria Urgent And Primary Care, Llc | |
|
5481 Sw 60th St Unit 301 Ocala FL 34474-5653 | |
| (352) 504-0092 | |
| (352) 504-0165 |
| Full Name | Solaria Urgent And Primary Care, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5481 Sw 60th St Unit 301, Ocala, Florida |
| Authorized Official Name and Position | Vanessa Blanco (MANAGING MEMBER) |
| Authorized Official Contact | 3525040092 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Solaria Urgent And Primary Care, Llc 5481 Sw 60th St Unit 301 Ocala FL 34474-5653 Ph: (352) 504-0092 | Solaria Urgent And Primary Care, Llc 5481 Sw 60th St Unit 301 Ocala FL 34474-5653 Ph: (352) 504-0092 |
| NPI Number | 1598425233 |
|---|---|
| Provider Enumeration Date | 12/21/2021 |
| Last Update Date | 03/18/2022 |
| Medicare PECOS PAC ID | 4082008230 |
|---|---|
| Medicare Enrollment ID | O20220303001848 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598425233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Vanessa Blanco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740796200 PECOS PAC ID: 5991199143 Enrollment ID: I20220303001915 |
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