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NPI Code Detail

MEDICARE: RENEE SALMON

MEDICARE: RENEE SALMON
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
1225100000XPhysical TherapistPT31855FL

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 : 1841744794
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENEE SALMON
Provider Business Mailing Address
First Line : 18025 NW 74TH CT
Second Line :
City : HIALEAH
State : FL
Zip : 33015-8454
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2727 NW 167TH ST
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33056-4406
Country : US
Telephone Number : 305-622-7575
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2016
Last Update Date : 08/09/2016

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Directions to “ RENEE SALMON ” Practice Location

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