Healthcare Provider Details

I. General information

NPI: 1346436714
Provider Name (Legal Business Name): LEON SALGADO M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2007
Last Update Date: 03/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26085 S DIXIE HWY
NARANJA FL
33032-6613
US

IV. Provider business mailing address

5605 NW 82ND AVE
DORAL FL
33166-4000
US

V. Phone/Fax

Practice location:
  • Phone: 305-685-5688
  • Fax: 305-258-4264
Mailing address:
  • Phone: 305-685-5688
  • Fax: 305-688-3167

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME99970
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: