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Organization
SALVEO MEDICINE LLC
Active
Organization
SALVEO MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN D POLING MD (OWNER)
(239) 293-8403
Entity
Organization
Contact information
Practice address
6100 GREENLAND RD STE 903, JACKSONVILLE, FL 32258-7450
(239) 293-8403
(239) 293-8403
Mailing address
485 STATE ROAD 13 N STE 2, SAINT JOHNS, FL 32259-2993
(239) 293-8403
(239) 293-8403
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105061000
—
FL
01
—
ME142810
FLORIDA BOARD OF MEDICINE
FL
Enumeration date
08/27/2024
Last updated
11/07/2024
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