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1962105627
SOLACE MEDICAL GROUP LLC
SAINT CLOUD, FL
NPI
1962105627
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Entity Type
Organization
Authorized Contact
LUIS ALVARADO
Cmo
407-717-4159
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2023-03-22
Last Update Date
2023-07-14
Business Address
SOLACE MEDICAL GROUP LLC
4739 OLD CANOE CREEK RD
SAINT CLOUD, FL 34769-1400
Phone number: 321-327-8336
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Mailing Address
SOLACE MEDICAL GROUP LLC
10524 MOSS PARK RD STE 204-750
ORLANDO, FL 32832-5898
Phone number:
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