Organization
CANTONMENT MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FADEL SALIB MD (OWNER)
(850) 937-4004
Entity
Organization
Contact information
Practice address
748 N HIGHWAY 29, CANTONMENT, FL 32533-9513
(850) 937-4004
(850) 937-4006
Mailing address
748 N HIGHWAY 29, CANTONMENT, FL 32533-9513
(850) 937-4004
(850) 937-4006
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME87968
FL
2084P0800X
Psychiatry Physician
Primary
ME70527
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44104
BCBS FL
FL
Enumeration date
11/16/2005
Last updated
04/20/2008
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