Individual
GERARDO ENRIQUE SALAMANCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PN
Contact information
Practice address
8175 NW 12TH ST STE 306, DORAL, FL 33126-1828
(305) 575-3800
(305) 470-5846
Mailing address
8175 NW 12TH ST STE 306, DORAL, FL 33126-1828
(305) 575-3800
(305) 470-5846
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PN5197338
FL
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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