Healthcare Provider Details

I. General information

NPI: 1477525897
Provider Name (Legal Business Name): LOAY SALMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 02/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 NW 12TH AVE BOX 016960 M851
MIAMI FL
33136-1005
US

IV. Provider business mailing address

1500 NW 12TH AVE # EAST1007
MIAMI FL
33136-1051
US

V. Phone/Fax

Practice location:
  • Phone: 305-585-1111
  • Fax: 305-243-3506
Mailing address:
  • Phone: 305-243-4664
  • Fax: 305-243-9927

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberME 95333
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: