Provider Demographics
NPI:1528362381
Name:SOLANTIC/MARRIOTT WORLD CENTER
Entity Type:Organization
Organization Name:SOLANTIC/MARRIOTT WORLD CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-223-2330
Mailing Address - Street 1:8701 WORLD CENTER DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32821-0000
Mailing Address - Country:US
Mailing Address - Phone:904-223-2330
Mailing Address - Fax:904-425-4356
Practice Address - Street 1:8701 WORLD CENTER DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32821-6358
Practice Address - Country:US
Practice Address - Phone:904-223-2330
Practice Address - Fax:904-425-4356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-07
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care