MEDICARE: DR. ABDELGHAFFAR SALOUS

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	2086S0105X	Surgery of the Hand (Surgery) Physician	67396	CT

Other Identifiers

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

General Provider Information

NPI Number	:	1821416793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABDELGHAFFAR SALOUS

Provider Business Mailing Address
First Line	:	3627 UNIVERSITY BLVD S STE 305
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-4294
Country	:	US
Telephone Number	:	904-596-0760
Fax Number	:	904-398-1729

Provider Business Practice Location Address
First Line	:	3627 UNIVERSITY BLVD S STE 305
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-4294
Country	:	US
Telephone Number	:	904-596-0760
Fax Number	:	904-398-1729

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

Provider Enumeration Date	:	03/28/2014
Last Update Date	:	11/20/2022

Similar Medicare Providers

1538152152 — JULIAN STEPHEN SUHRER MD
Practice Location Address:

3627 UNIVERSITY BLVD S , #340
JACKSONVILLE, FL
32216-4294

Practice Phone: 904-396-3518
Practice Fax: 904-398-5066

1184617839 — DANIEL C MCDYER MD
Practice Location Address:

3627 UNIVERSITY BLVD S , STE 340
JACKSONVILLE, FL
32216-4294

Practice Phone: 904-396-3518
Practice Fax: 904-398-5066

1164405122 — DR. MAE SHEIKH-ALI M.D.
Practice Location Address:

3627 UNIVERSITY BLVD S STE 310
JACKSONVILLE, FL
32216-4294

Practice Phone: 610-529-4165
Practice Fax: 904-281-9806

1114224300 — FLORIDA WOMAN CARE LLC
Practice Location Address:

3627 UNIVERSITY BLVD S , SUITE 340
JACKSONVILLE, FL
32216-4294

Practice Phone: 904-398-1202
Practice Fax: 904-998-7948

1972937746 — KIM MARIE MANUEL ARNP
Practice Location Address:

3627 UNIVERSITY BLVD S STE 305
JACKSONVILLE, FL
32216-4294

Practice Phone: 904-593-0760
Practice Fax: 904-398-1729

1932521036 — DR. RONALD WARREN HOARD II M.D.
Practice Location Address:

3627 UNIVERSITY BLVD S STE 305
JACKSONVILLE, FL
32216-4294

Practice Phone: 904-593-0760
Practice Fax: 904-398-1729

Directions to “ DR. ABDELGHAFFAR SALOUS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.