| Salud Medical Group, Llc | |
|
45 Alabama Rd N # 12-3 Lehigh Acres FL 33936-6829 | |
| (772) 924-4632 | |
| Not Available |
| Full Name | Salud Medical Group, Llc |
|---|---|
| Speciality | General Practice |
| Location | 45 Alabama Rd N # 12-3, Lehigh Acres, Florida |
| Authorized Official Name and Position | Mayelin Amoros Duque (OWNER) |
| Authorized Official Contact | 7729244632 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Salud Medical Group, Llc 45 Alabama Rd N # 12-3 Lehigh Acres FL 33936-6829 Ph: () - | Salud Medical Group, Llc 45 Alabama Rd N # 12-3 Lehigh Acres FL 33936-6829 Ph: (772) 924-4632 |
| NPI Number | 1700641800 |
|---|---|
| Provider Enumeration Date | 02/19/2024 |
| Last Update Date | 02/19/2024 |
| Medicare PECOS PAC ID | 3779920996 |
|---|---|
| Medicare Enrollment ID | O20240325000367 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700641800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Mayelin Amoros Duquesne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780170514 PECOS PAC ID: 1254733736 Enrollment ID: I20210706002984 |
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