Salveo Medicine LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SALVEO MEDICINE LLC

Practice address

6100 Greenland Rd Ste 903
Jacksonville, FL 32258-7450

Phone

(239) 293-8403

Fax

(239) 293-8403

NPI assigned

Aug 27, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ryan D Poling, MD

Title

Owner

Phone

(239) 293-8403

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1487488110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 STATE ROAD 13 N STE 2",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322592993",
            "telephone_number": "239-293-8403",
            "fax_number": "239-293-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 GREENLAND RD STE 903",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322587450",
            "telephone_number": "239-293-8403",
            "fax_number": "239-293-8403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALVEO MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "POLING",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-293-8403",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF MEDICINE",
            "identifier": "ME142810",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105061000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Salud Primary Care LLC
• Victoria Andrea Salud, OTR/L
• Maria Vanessa Comia Salvador, M.E.D.
• Bryan Salvato, MD
• Renata Salvatori, PT, DPT
• Tiffany Ann Salveson, IDC
• Christina Salvia, DC
• Rona Rose Salvilla
• Paul Salzer, ANP-C
• Cheryl Susan Sam

• Internal Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.