Healthcare Provider Details

I. General information

NPI: 1457607723
Provider Name (Legal Business Name): CARL MATTHEW SALVATI DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2012
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

812 NE 25TH AVE STE A
OCALA FL
34470-6379
US

IV. Provider business mailing address

812 NE 25TH AVE STE A
OCALA FL
34470-6379
US

V. Phone/Fax

Practice location:
  • Phone: 352-351-4444
  • Fax: 352-351-4920
Mailing address:
  • Phone: 352-351-4444
  • Fax: 352-351-4920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO 3571
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: