MEDICARE: SALUD HEALTHCARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1366016305
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SALUD HEALTHCARE, LLC

Provider Business Mailing Address
First Line	:	3350 SW 148TH AVE STE 202
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33027-3239
Country	:	US
Telephone Number	:	954-231-5148
Fax Number	:

Provider Business Practice Location Address
First Line	:	3350 SW 148TH AVE STE 202
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33027-3239
Country	:	US
Telephone Number	:	954-231-5148
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JONATHAN GRUNER
Credential	:
Telephone Number	:	954-231-5141

Provider Enumeration Date	:	05/14/2021
Last Update Date	:	05/05/2026

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Directions to “SALUD HEALTHCARE, LLC ” Practice Location

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