Organization
SALUS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUISA M NIEVES MD (LEAD PHYSICIAN)
(787) 399-2999
Entity
Organization
Contact information
Practice address
7824 LAKE UNDERHILL RD STE A, ORLANDO, FL 32822-8201
(407) 282-2001
Mailing address
11661 MEADOW GROVE CIR, ORLANDO, FL 32836-5049
(787) 399-2999
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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