MEDICARE: CHARLES ANDREW SALZBERG MD

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
1	208200000X	Plastic Surgery Physician	ME153436	FL
2	207N00000X	Dermatology Physician	ME153436	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497711972
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES ANDREW SALZBERG MD

Provider Business Mailing Address
First Line	:	1000 36TH ST
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-4862
Country	:	US
Telephone Number	:	772-463-2010
Fax Number	:	772-945-6267

Provider Business Practice Location Address
First Line	:	3555 10TH CT
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-5013
Country	:	US
Telephone Number	:	772-463-2010
Fax Number	:	772-945-6267

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2006
Last Update Date	:	02/05/2024

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Directions to “ CHARLES ANDREW SALZBERG MD” Practice Location

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