Healthcare Provider Details
I. General information
NPI: 1275724817
Provider Name (Legal Business Name): JUAN CARLOS SALGADO CAMPO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/08/2007
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
95 COLLIER RD NW STE 3000
ATLANTA GA
30309-1721
US
IV. Provider business mailing address
1801 NW 9TH AVE
MIAMI FL
33136-1101
US
V. Phone/Fax
- Phone: 404-605-5140
- Fax:
- Phone: 305-355-3000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0200X |
| Taxonomy | Critical Care Medicine (Internal Medicine) Physician |
| License Number | 110058 |
| License Number State | GA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RC0200X |
| Taxonomy | Critical Care Medicine (Internal Medicine) Physician |
| License Number | ME110193 |
| License Number State | FL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | ME110193 |
| License Number State | FL |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | 110058 |
| License Number State | GA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: