MEDICARE: WILLIAM SALCEDO DPM

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	213E00000X	Podiatrist	PO2253	FL
2	213ES0131X	Foot Surgery Podiatrist	PO2253	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	480029323	OTHER	FL	MEDICARE RAIL ROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1477558500	OTHER	FL	OTHER INSURANCES
2	65266	OTHER	FL	BC/BS OF FL

General Provider Information

NPI Number	:	1477558500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM SALCEDO DPM

Provider Business Mailing Address
First Line	:	2515 NW FEDERAL HWY # 245
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34994-9315
Country	:	US
Telephone Number	:	772-631-3326
Fax Number	:	772-283-8087

Provider Business Practice Location Address
First Line	:	2515 NW FEDERAL HWY # 245
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34994-9315
Country	:	US
Telephone Number	:	772-631-3326
Fax Number	:	772-283-8087

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	08/26/2024

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Directions to “ WILLIAM SALCEDO DPM” Practice Location

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