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SALUD PRIMARY CARE LLC
NPI 1730774142
Nurse Practitioner - Primary Care in Jacksonville, FL

Active since March 08, 2021
1126 UNIVERSITY BLVD N STE 3105, JACKSONVILLE, FL 32211(904) 625-2644 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Salud Primary Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SALUD PRIMARY CARE LLC (NPI 1730774142) is a healthcare organization registered as a primary care in Jacksonville, Florida and active in the NPI registry since March 2021. The organization lists Johanna Russell, Owner, as its authorized official.

NPPES Registry Identity

NPI1730774142
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameSALUD PRIMARY CARE LLC
Location Address1126 UNIVERSITY BLVD N STE 3105Jacksonville, FL 32211-8850
Mailing Address379 Tintamarre DrSaint Augustine, FL 32092-1102 · (904) 625-2644
Phone(904) 625-2644
Organization SubpartNo
Authorized OfficialJohanna RussellOwner · (904) 625-2644
Enumeration DateMarch 8, 2021
NPPES CertifiedMarch 8, 2021
✔ NPI 1730774142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
1126 UNIVERSITY BLVD N STE 3105, Jacksonville, FL 32211
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Salud Primary Care LLC's NPI number?

The NPI number for Salud Primary Care LLC is 1730774142. It was assigned to this organization in the NPPES registry on March 8, 2021.

Where is Salud Primary Care LLC located?

Salud Primary Care LLC is located at 1126 University Blvd N Ste 3105, Jacksonville, FL 32211. The listed phone number is (904) 625-2644.

What is Salud Primary Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Salud Primary Care LLC was last updated on March 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.