Healthcare Provider Details

I. General information

NPI: 1184672701
Provider Name (Legal Business Name): DAMON R SALZMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6405 N FEDERAL HWY STE 404
FORT LAUDERDALE FL
33308-1414
US

IV. Provider business mailing address

1608 SE 3RD AVE FL 3
FT LAUDERDALE FL
33316-2564
US

V. Phone/Fax

Practice location:
  • Phone: 954-940-7015
  • Fax: 954-888-3755
Mailing address:
  • Phone: 954-940-7015
  • Fax: 954-888-3755

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License NumberME94612
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License NumberME94612
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberME94612
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: