Healthcare Provider Details

I. General information

NPI: 1548131923
Provider Name (Legal Business Name): ANDREW REECE SALVATI RRT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2025
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1464 TROUTMAN BLVD NE
PALM BAY FL
32905-4101
US

IV. Provider business mailing address

1012 MARY JOYE AVE
INDIAN HARBOUR BEACH FL
32937-4270
US

V. Phone/Fax

Practice location:
  • Phone: 786-773-8356
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number17031
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: