MEDICARE: ANTHONY J SALVADOR P.A.-C

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	363A00000X	Physician Assistant	PA 9101025	FL

General Provider Information

NPI Number	:	1609802008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY J SALVADOR P.A.-C

Provider Business Mailing Address
First Line	:	3313 W HILLSBORO BLVD STE 202
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-9423
Country	:	US
Telephone Number	:	954-571-9500
Fax Number	:	954-571-9560

Provider Business Practice Location Address
First Line	:	3313 W HILLSBORO BLVD STE 202
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-9423
Country	:	US
Telephone Number	:	954-571-9500
Fax Number	:	954-571-9560

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

Provider Enumeration Date	:	06/25/2006
Last Update Date	:	02/21/2022

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