| Salud Urgent Care LLC | |
|
3107 13th Street Saint Cloud FL 34769 | |
| (407) 957-7700 | |
| Not Available |
| Full Name | Salud Urgent Care LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 3107 13th Street, Saint Cloud, Florida |
| Authorized Official Name and Position | Sheeja Jacob (DIRECTOR) |
| Authorized Official Contact | 4075209377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Salud Urgent Care LLC 3744 Marietta Way Saint Cloud FL 34772 Ph: (407) 957-7700 | Salud Urgent Care LLC 3107 13th Street Saint Cloud FL 34769 Ph: (407) 957-7700 |
| NPI Number | 1598282113 |
|---|---|
| Provider Enumeration Date | 08/24/2017 |
| Last Update Date | 08/24/2017 |
| Medicare PECOS PAC ID | 0143715714 |
|---|---|
| Medicare Enrollment ID | O20251220000146 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598282113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| 261QU0200X | Clinic/center - Urgent Care | () | Secondary |
| Provider Name | Virginia V Santana Feliz |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1285851063 PECOS PAC ID: 9739108127 Enrollment ID: I20161110000620 |
| Provider Name | Sheeja Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174100556 PECOS PAC ID: 1759789084 Enrollment ID: I20230526000090 |
| Provider Name | Luis Joel Rodriguez Maldonado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992420467 PECOS PAC ID: 2163870148 Enrollment ID: I20231201000557 |
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