Individual
YULIA SALAMATOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
580 W 8TH ST # T17, JACKSONVILLE, FL 32209-6533
(904) 244-9922
Mailing address
580 W 8TH ST # T17, JACKSONVILLE, FL 32209-6533
(904) 244-9922
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
UO5910
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2018
Last updated
10/18/2019
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