Individual
JETH V SALOMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6399 38TH AVE N, SUITE A-6, ST PETERSBURG, FL 33710-1647
(727) 381-5437
(727) 344-0632
Mailing address
6560 9TH AVE N STE 1, ST PETERSBURG, FL 33710-6210
(727) 381-5437
(727) 344-0632
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME0068237
FL
208000000X
Pediatrics Physician
Primary
ME68237
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378171200
—
FL
Enumeration date
02/01/2006
Last updated
04/13/2020
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