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NPI Code Detail

MEDICARE: JESSE SALMERON MD

MEDICARE:   JESSE  SALMERON  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
1207Y00000XOtolaryngology PhysicianME0075831FL

Other Identifiers

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

General Provider Information

NPI Number : 1730146994
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSE SALMERON MD
Provider Business Mailing Address
First Line : PO BOX 640885
Second Line :
City : MIAMI
State : FL
Zip : 33164-0885
Country : US
Telephone Number : 305-652-8151
Fax Number : 305-651-7257
Provider Business Practice Location Address
First Line : 3363 NE 163RD ST STE 505
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33160-4423
Country : US
Telephone Number : 305-652-8151
Fax Number : 305-651-7257
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2006
Last Update Date : 04/24/2024

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