Healthcare Provider Details

I. General information

NPI: 1750318606
Provider Name (Legal Business Name): SHERIF M EL-SALAWY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2006
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5450 RAMONA BLVD
JACKSONVILLE FL
32205-4750
US

IV. Provider business mailing address

5450 RAMONA BLVD
JACKSONVILLE FL
32205-4750
US

V. Phone/Fax

Practice location:
  • Phone: 904-428-0400
  • Fax: 904-428-0404
Mailing address:
  • Phone: 904-428-0400
  • Fax: 904-428-0404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number272366
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License NumberME86538
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberME86538
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: