Healthcare Provider Details

I. General information

NPI: 1730538984
Provider Name (Legal Business Name): MRS. MARIA SALAZAR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2016
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2669 FOREST HILL BLVD STE 100
WEST PALM BEACH FL
33406-5966
US

IV. Provider business mailing address

5785 SUN POINTE CIR
BOYNTON BEACH FL
33437-3347
US

V. Phone/Fax

Practice location:
  • Phone: 561-467-6560
  • Fax: 888-720-4595
Mailing address:
  • Phone: 312-730-5421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9310385
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: