Healthcare Provider Details

I. General information

NPI: 1700668969
Provider Name (Legal Business Name): CARL SALVATI, DPM, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2023
Last Update Date: 10/20/2023
Certification Date: 10/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 NW 56TH TER
GAINESVILLE FL
32605-6408
US

IV. Provider business mailing address

812 NE 25TH AVE STE A
OCALA FL
34470-6379
US

V. Phone/Fax

Practice location:
  • Phone: 352-331-4333
  • Fax: 352-331-8382
Mailing address:
  • Phone: 352-351-4444
  • Fax: 352-351-4920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP1100X
TaxonomyPodiatric Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CARL MATTHEW SALVATI
Title or Position: PRESIDENT/OWNER
Credential: DPM
Phone: 352-351-4444