Healthcare Provider Details

I. General information

NPI: 1669458949
Provider Name (Legal Business Name): IGNACIO J R SALZMAN MD P A
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2005
Last Update Date: 03/23/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9430 TURKEY LAKE RD SUITE216
ORLANDO FL
32819-8015
US

IV. Provider business mailing address

9430 TURKEY LAKE RD SUITE216
ORLANDO FL
32819-8015
US

V. Phone/Fax

Practice location:
  • Phone: 407-354-4470
  • Fax: 407-354-4584
Mailing address:
  • Phone: 407-354-4470
  • Fax: 407-354-4584

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. IGNACIO J SALZMAN
Title or Position: PROVIDER OWNER
Credential: MD
Phone: 407-354-4470