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NPI Code Detail

MEDICARE: MR. BRIAN MARTIN SALAZAR L.AC., L.M.T.

MEDICARE: MR. BRIAN MARTIN SALAZAR L.AC., L.M.T.
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
1171100000XAcupuncturist004748NY
2225700000XMassage Therapist030665NY
3171100000XAcupuncturistAP4345FL

General Provider Information

NPI Number : 1881969970
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRIAN MARTIN SALAZAR L.AC., L.M.T.
Provider Business Mailing Address
First Line : 10655 MOORE DR
Second Line :
City : PARKLAND
State : FL
Zip : 33076-4843
Country : US
Telephone Number : 917-450-1976
Fax Number :
Provider Business Practice Location Address
First Line : 5850 CORAL RIDGE DR STE 314
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33076-3380
Country : US
Telephone Number : 754-229-6928
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2012
Last Update Date : 06/30/2025

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