Provider Demographics
NPI:1730718800
Name:SALUDA HEALTH & TELEMEDICINE LLC
Entity type:Organization
Organization Name:SALUDA HEALTH & TELEMEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:LAWANDA
Authorized Official - Middle Name:CURRY-MACK
Authorized Official - Last Name:GOEHRING
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:917-502-8345
Mailing Address - Street 1:5400 EAST FOWLER AVENUE
Mailing Address - Street 2:SUITE C253
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33617-2222
Mailing Address - Country:US
Mailing Address - Phone:917-502-8345
Mailing Address - Fax:
Practice Address - Street 1:820 DRUID HILLS RD
Practice Address - Street 2:
Practice Address - City:TEMPLE TERRACE
Practice Address - State:FL
Practice Address - Zip Code:33617-3812
Practice Address - Country:US
Practice Address - Phone:917-028-3455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-02
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty