MEDICARE: IGNACIO J R SALZMAN MD P A

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1669458949
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IGNACIO J R SALZMAN MD P A

Provider Business Mailing Address
First Line	:	9430 TURKEY LAKE RD
Second Line	:	SUITE216
City	:	ORLANDO
State	:	FL
Zip	:	32819-8015
Country	:	US
Telephone Number	:	407-354-4470
Fax Number	:	407-354-4584

Provider Business Practice Location Address
First Line	:	9430 TURKEY LAKE RD
Second Line	:	SUITE216
City	:	ORLANDO
State	:	FL
Zip	:	32819-8015
Country	:	US
Telephone Number	:	407-354-4470
Fax Number	:	407-354-4584

Authorized Official
Title or Position	:	PROVIDER OWNER
Name	:	DR. IGNACIO J SALZMAN
Credential	:	MD
Telephone Number	:	407-354-4470

Provider Enumeration Date	:	12/19/2005
Last Update Date	:	03/23/2012

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