MEDICARE: WILLIAM SALCEDO DPM PA

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	213ES0131X	Foot Surgery Podiatrist	PO2253	FL
2	332B00000X	Durable Medical Equipment & Medical Supplies	PO2253	FL

General Provider Information

NPI Number	:	1982873949
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM SALCEDO DPM PA

Provider Business Mailing Address
First Line	:	2515 NW FEDERAL HWY STE 245
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34994-9315
Country	:	US
Telephone Number	:	772-631-3326
Fax Number	:	772-283-8087

Provider Business Practice Location Address
First Line	:	1331 S E PORT ST LUCIE BLVD
Second Line	:	SUITE 101
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34952
Country	:	US
Telephone Number	:	772-337-0014
Fax Number	:	772-398-0887

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. JANICE R SALCEDO
Credential	:	RN, MBA
Telephone Number	:	772-631-3326

Provider Enumeration Date	:	02/25/2008
Last Update Date	:	08/26/2024

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Directions to “WILLIAM SALCEDO DPM PA ” Practice Location

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