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General NPI Number Information
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NPI Number | 1467369728
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Entity Type | Organization
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Legal Business Name | SALUS MEDICINA GROUP LLC
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Dates
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Enumeration Date | 08/24/2026
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Last Update Date | 08/24/2026
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Provider Practice Location Address
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Address Line | 1217 S N ST APT 3
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City | LAKE WORTH
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State | FL
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Zip | 33460-5650
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Country | US
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Telephone | 305-221-4789
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Fax |
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Provider Business Mailing Address
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Address Line | 1217 S N ST APT 3 #3
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City | LAKE WORTH
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State | FL
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Zip | 33460-5650
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Country | US
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Telephone | 772-874-5674
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JEAN HERVE DESIR
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Credential |
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Telephone | 405-423-3214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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