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NPI Code Detail

MEDICARE: KNOVANO SALMON ARNP

MEDICARE: KNOVANO SALMON ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner11000582FL

General Provider Information

NPI Number : 1174095921
Entity Type Code : Individual
Provider Name (Legal Business Name) : KNOVANO SALMON ARNP
Provider Business Mailing Address
First Line : 11970 SW 12TH ST BLDG 109
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33025-5723
Country : US
Telephone Number : 813-507-3924
Fax Number :
Provider Business Practice Location Address
First Line : 1345 NE 4TH AVE
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33304-1031
Country : US
Telephone Number : 954-458-1199
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2018
Last Update Date : 05/03/2024

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Directions to “ KNOVANO SALMON ARNP” Practice Location

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