Organization
PHILLIPS, SALOMON & PARRISH, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD R SALOMON OD (REGISTERED AGENT)
(863) 299-8908
Entity
Organization
Contact information
Practice address
1214 N BROADWAY AVE, BARTOW, FL 33830-3343
(863) 584-2020
(863) 299-1061
Mailing address
215 1ST ST N, WINTER HAVEN, FL 33881-4537
(863) 299-8908
(863) 299-1061
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1963
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078873205
—
FL
Enumeration date
10/12/2006
Last updated
02/11/2011
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