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NPI Code Detail

MEDICARE: SALICONTE CHARLES

MEDICARE: SALICONTE CHARLES
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
1363LG0600XGerontology Nurse Practitioner11021404FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306564323
Entity Type Code : Individual
Provider Name (Legal Business Name) : SALICONTE CHARLES
Provider Business Mailing Address
First Line : 1827 W HILLSBORO BLVD
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33442-1442
Country : US
Telephone Number : 954-800-4054
Fax Number :
Provider Business Practice Location Address
First Line : 1827 W HILLSBORO BLVD
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33442-1442
Country : US
Telephone Number : 954-800-4054
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2022
Last Update Date : 12/16/2025

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Directions to “ SALICONTE CHARLES ” Practice Location

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