| Organization Name: | SOLARIS REHAB, LLC |
| NPI Number: | 1457774903 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID R BOERKOEL (PRESIDENT) |
| Mailing Address: | 2129 W New Haven Ave W Melbourne |
| State: | FL US |
| Postal Code: | 329043875 |
| Phone Number: | 3217240060 |
| Fax Number: | |
| NPI Enumeration Date: | 02/03/2014 |
| NPI Last Update Date: | 11/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |