Individual
MANSOOREH SALARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3241 LAKELAND HILLS BLVD, LAKELAND, FL 33805-2266
(863) 413-2620
(863) 499-2612
Mailing address
1290 GOLFVIEW AVE, 4TH FLOOR BILLING DEPARTMENT, BARTOW, FL 33830-6738
(863) 519-7900
(863) 519-7696
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME33945
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038707000
—
FL
Enumeration date
10/10/2005
Last updated
08/11/2010
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