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Individual

SALMONT ORANGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4766 GOLDEN GATE PKWY, NAPLES, FL 34116-6984
(239) 400-0545
(239) 449-8469
Mailing address
4766 GOLGEN GATE PARKWAY, NAPLES, FL 34116
(239) 400-0545

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
LCCTO20150002059
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
473829753
FL
Enumeration date
06/01/2015
Last updated
06/01/2015
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