Individual
FREDY R SALGADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3949 EVANS AVE, SUITE 102, FORT MYERS, FL 33901-9335
(239) 939-2622
(239) 939-0151
Mailing address
3949 EVANS AVE, SUITE 102, FORT MYERS, FL 33901-9335
(239) 939-2622
(239) 939-0151
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MA08525000
NJ
207L00000X
Anesthesiology Physician
Primary
ME93567
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1575406
CIGNA
FL
05
—
275483500
—
FL
01
—
53174
BSFL
FL
01
—
7783895
AETNA
FL
01
—
P00386629
MCRR
FL
01
—
U8754Z
MCR
FL
Enumeration date
07/04/2006
Last updated
01/04/2011
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