SHANDS/SOLANTIC JOINT VENTURE, LLC – Urgent Care Clinic/Center, NPI 1558595223
Urgent Care Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SHANDS/SOLANTIC JOINT VENTURE, LLC
10151 DEERWOOD PARK BLVD STE 200
JACKSONVILLE, FL 322560566
Phone: (904) 854-1545
Type: Mailing
2415 SW College Rd
Ocala, FL 344711664
Phone: (352) 237-3536
Fax: (352) 237-8735
Type: Location
3581 SW Archer Rd Ste 40
Gainesville, FL 326082428
Phone: (352) 888-4449
Fax: (352) 888-4450
Type: Location
3925 NW 43rd St
Gainesville, FL 326064565
Phone: (352) 371-1777
Fax: (352) 371-0298
Type: Location
8711, Perimeter Park Boulevard, Jacksonville, Duval County, Florida, 32216, United States
SUITE 6
JACKSONVILLE, FL 32216
Phone: (904) 223-2330
Fax: (904) 425-4356
Type: Mailing
720 Southwest 2nd Avenue, Southwest 2nd Avenue, Gainesville, Alachua County, Florida, 32601, United States
160A
GAINESVILLE, FL 32601
Phone: (352) 240-8000
Fax: (352) 377-6039
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-04-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-02-29 (832 days ago).
Enrollment records
2
Earliest due date
2024-02-29
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20091223000343 | O | Clinic/Group Practice | FL | 2024-02-29 |
| O20140401001474 | O | Mass Immunization (Roster Biller Only) | FL | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32256)
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