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General NPI Number Information
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NPI Number | 1154848042
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Entity Type | Organization
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Legal Business Name | MEDSALUD LLC
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Dates
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Enumeration Date | 08/23/2017
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 1489 N MILITARY TRL STE 114
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-6057
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Country | US
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Telephone | 561-557-1908
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Fax | 561-444-3421
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Provider Business Mailing Address
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Address Line | 1489 N MILITARY TRL STE 114
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-6057
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Country | US
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Telephone | 561-557-1908
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Fax | 561-444-3421
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Authorized Official
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Title or Position | OWNER
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Name | JUAN HERNANDEZ MILIAN
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Credential |
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Telephone | 561-557-1908
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | HCC11131
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License Number State | FL
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