MEDICARE: DR. JOSEPH ROY SALERNO 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	174400000X	Specialist	ME 64484	FL

General Provider Information

NPI Number	:	1598720559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH ROY SALERNO MD

Provider Business Mailing Address
First Line	:	8800 S OCEAN DR APT 305
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-2144
Country	:	US
Telephone Number	:	772-229-8367
Fax Number	:	772-229-8367

Provider Business Practice Location Address
First Line	:	8800 S OCEAN DR APT 305
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-2144
Country	:	US
Telephone Number	:	772-229-8367
Fax Number	:	772-229-8367

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

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	10/21/2014

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