MEDICARE: FIRAS SALEH 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	204D00000X	Neuromusculoskeletal Medicine & OMM Physician	ME93796	FL

General Provider Information

NPI Number	:	1659331858
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FIRAS SALEH MD

Provider Business Mailing Address
First Line	:	2202 STATE AVE
Second Line	:	STE 201
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-7601
Country	:	US
Telephone Number	:	850-785-0029
Fax Number	:	850-785-7600

Provider Business Practice Location Address
First Line	:	2202 STATE AVE
Second Line	:	STE 201
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-7601
Country	:	US
Telephone Number	:	850-785-0029
Fax Number	:	850-785-7600

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

Provider Enumeration Date	:	03/23/2006
Last Update Date	:	07/08/2007

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Directions to “ FIRAS SALEH MD” Practice Location

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