1932463031 NPI number — SOLARIS REHAB, LLC

Table of content: (NPI 1932463031)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932463031 NPI number — SOLARIS REHAB, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SOLARIS REHAB, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932463031
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2386
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BONITA SPRINGS
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34133-2386
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
239-514-2310
Provider Business Mailing Address Fax Number:
866-596-6505

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
27300 RIVERVIEW CENTER BLVD STE 101
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BONITA SPRINGS
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34134-4316
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
239-514-2310
Provider Business Practice Location Address Fax Number:
866-596-6505
Provider Enumeration Date:
07/03/2012

Additional Information

Authorized Official

Authorized Official Last Name:
BOERKOEL
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
R
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
239-300-2207

Provider Taxonomy Codes

  • Taxonomy code: 261QR0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 020636300 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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