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SOLACE MEDICAL CARE LLC
NPI 1205554763
Family Medicine in Palm Bay, FL

Active since August 19, 2022CLIA 10D2289054 · Waiver
1890 PALM BAY RD NE STE 1, PALM BAY, FL 32905(407) 588-7835 Get Directions Write a Review

NPPES record last updated: January 3, 2023. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Jan 3, 2023, Oct 19, 2022, Aug 19, 2022 (3 updates tracked since 2022).

About Solace Medical Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOLACE MEDICAL CARE LLC (NPI 1205554763) is a healthcare organization registered as a family medicine in Palm Bay, Florida and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through September 4, 2027 and lists Jose Quezada, Cfo, as its authorized official.

NPPES Registry Identity

NPI1205554763
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOLACE MEDICAL CARE LLC
Location Address1890 PALM BAY RD NE STE 1Palm Bay, FL 32905-3071
Mailing Address1890 Palm Bay Rd Ne Ste 1Palm Bay, FL 32905-3071 · (321) 327-8336
Phone(407) 588-7835
Organization SubpartNo
Authorized OfficialJose QuezadaCfo · (407) 301-8116
Enumeration DateAugust 19, 2022
Last NPPES UpdateJanuary 3, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2023
✔ NPI 1205554763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1890 PALM BAY RD NE STE 1, Palm Bay, FL 32905
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2289054

Solace Medical Care Pb LLC · Palm Bay, FL
Active · expires Sep 4, 2027
CLIA Number10D2289054
Laboratory TypePhysician Office
Certificate Effective DateSeptember 5, 2025
Certificate Expiration DateSeptember 4, 2027
Laboratory DirectorByron O Mata Gonzalez
Laboratory Phone(321) 327-8336
Laboratory LocationSolace Medical Care Pb LLC1890 Palm Bay Rd NE Ste 1, Palm Bay, FL 32905
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOLACE MEDICAL CARE PB LLC
Family Medicine
1890 PALM BAY RD NE STE 1
PALM BAY, FL 32905
Brevard County (407) 593-2290

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Solace Medical Care LLC's NPI number?

The NPI number for Solace Medical Care LLC is 1205554763. It was assigned to this organization in the NPPES registry on August 19, 2022.

Where is Solace Medical Care LLC located?

Solace Medical Care LLC is located at 1890 Palm Bay Rd NE Ste 1, Palm Bay, FL 32905. The listed phone number is (407) 588-7835.

What is Solace Medical Care LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Solace Medical Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2289054) is associated with this NPI, valid through September 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Solace Medical Care LLC was last updated on January 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.