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Individual

DR. JACQUELINE SALAZAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8900 N KENDALL DR, MIAMI, FL 33176-2118
(786) 596-1960
Mailing address
16241 BISCAYNE BLVD, NORTH MIAMI BEACH, FL 33160
(305) 947-5494

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
ME0046576
FL
208000000X
Pediatrics Physician
Primary
ME46576
FL
208M00000X
Hospitalist Physician
ME46576
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001785
NEIGHBORHOOD
FL
01
012
CIGNA
FL
01
014227
AVMED
FL
01
02871
BCBS
FL
05
063887101
FL
01
110994
HUMANA
FL
01
1202314
UNITED HEALTHCARE
FL
01
171113
JMH
FL
01
212947
AMERIGROUP
FL
01
650122664
VISTA
FL
Enumeration date
09/20/2006
Last updated
12/04/2018
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