MEDICARE: DR. ROBERT WALTER SALVATORI DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	PO2276	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PO2276	OTHER	FL	STATE LICENSE

General Provider Information

NPI Number	:	1679593594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT WALTER SALVATORI DPM

Provider Business Mailing Address
First Line	:	130 TAMIAMI TRL N STE 100
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34102-6231
Country	:	US
Telephone Number	:	239-261-8900
Fax Number	:	239-261-3679

Provider Business Practice Location Address
First Line	:	130 TAMIAMI TRL N STE 100
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34102-6231
Country	:	US
Telephone Number	:	239-261-8900
Fax Number	:	239-261-3679

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

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	08/04/2010

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