Healthcare Provider Details

I. General information

NPI: 1023704103
Provider Name (Legal Business Name): ADISMARY SALINAS RECIO DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ADISMARY SALINAS DPM

II. Dates (important events)

Enumeration Date: 04/12/2023
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

445 N CAUSEWAY
NEW SMYRNA BEACH FL
32169-5266
US

IV. Provider business mailing address

445 N CAUSEWAY
NEW SMYRNA BEACH FL
32169-5266
US

V. Phone/Fax

Practice location:
  • Phone: 386-427-4020
  • Fax:
Mailing address:
  • Phone: 386-427-4020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO4633
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: