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Organization

SALOMON FAMILY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RAFAEL SALOMON (PRESIDENT)
(305) 828-2071
Entity
Organization

Contact information

Practice address
3184 W 72ND ST, HIALEAH, FL 33018-5222
(305) 828-2071
Mailing address
3184 W 72ND ST, HIALEAH, FL 33018-5222
(305) 828-2071
(305) 364-9296

Taxonomy

Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
685650196
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
685650196
FL
05
685650198
FL
Enumeration date
06/05/2008
Last updated
06/05/2008
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