Healthcare Provider Details

I. General information

NPI: 1639128184
Provider Name (Legal Business Name): JOEL WINKLER SALAMON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 10/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15600 NW 67TH AVE SUITE 306
MIAMI LAKES FL
33014-0000
US

IV. Provider business mailing address

350 N PINE ISLAND RD SUITE 200
PLANTATION FL
33324-1849
US

V. Phone/Fax

Practice location:
  • Phone: 305-828-8260
  • Fax: 954-476-1362
Mailing address:
  • Phone: 954-476-8800
  • Fax: 954-476-1362

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberME72351
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: