Provider Demographics
NPI:1598425233
Name:SOLARIA URGENT AND PRIMARY CARE, LLC
Entity Type:Organization
Organization Name:SOLARIA URGENT AND PRIMARY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLANCO
Authorized Official - Suffix:
Authorized Official - Credentials:APRN-FNP-C
Authorized Official - Phone:352-504-0092
Mailing Address - Street 1:5481 SW 60TH ST UNIT 301
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-5653
Mailing Address - Country:US
Mailing Address - Phone:352-504-0092
Mailing Address - Fax:352-504-0162
Practice Address - Street 1:5481 SW 60TH ST UNIT 301
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-5653
Practice Address - Country:US
Practice Address - Phone:352-504-0092
Practice Address - Fax:352-504-0165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-21
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty