Provider Demographics
NPI:1104667211
Name:SOLUTION 1 HEALTH CARE
Entity type:Organization
Organization Name:SOLUTION 1 HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:LISHONE
Authorized Official - Last Name:GILYARD
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:386-359-7838
Mailing Address - Street 1:5 UTILITY DR STE 2F
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32137-4629
Mailing Address - Country:US
Mailing Address - Phone:386-359-7838
Mailing Address - Fax:
Practice Address - Street 1:5 UTILITY DR STE 2F
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32137-4629
Practice Address - Country:US
Practice Address - Phone:386-359-7838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center