Individual
KNOVANO SALMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1345 NE 4TH AVE, FORT LAUDERDALE, FL 33304-1031
(954) 458-1199
Mailing address
11970 SW 12TH ST BLDG 109, PEMBROKE PINES, FL 33025-5723
(813) 507-3924
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11000582
FL
Other
Enumeration date
12/18/2018
Last updated
05/03/2024
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