| Salveo Medicine Llc | |
|
6100 Greenland Rd Ste 903 Jacksonville FL 32258-7450 | |
| (239) 293-8403 | |
| (239) 293-8403 |
| Full Name | Salveo Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6100 Greenland Rd Ste 903, Jacksonville, Florida |
| Authorized Official Name and Position | Ryan D Poling (OWNER) |
| Authorized Official Contact | 2392938403 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Salveo Medicine Llc 485 State Road 13 N Ste 2 Saint Johns FL 32259-2993 Ph: (239) 293-8403 | Salveo Medicine Llc 6100 Greenland Rd Ste 903 Jacksonville FL 32258-7450 Ph: (239) 293-8403 |
| NPI Number | 1487488110 |
|---|---|
| Provider Enumeration Date | 08/27/2024 |
| Last Update Date | 11/07/2024 |
| Medicare PECOS PAC ID | 4284167172 |
|---|---|
| Medicare Enrollment ID | O20241030004053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487488110 | NPI | - | NPPES |
| ME142810 | Other | FL | FLORIDA BOARD OF MEDICINE |
| 105061000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 2083B0002X | Preventive Medicine - Obesity Medicine | (* (Not Available)) | Secondary |
| Provider Name | Ryan David Poling |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558717835 PECOS PAC ID: 8628325321 Enrollment ID: I20200117000457 |
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