Individual
ELENA SALEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
601 W MICHIGAN ST, ORLANDO, FL 32805-6203
(407) 317-7430
(407) 648-4150
Mailing address
3720 BEAVER RIDGE DR, ORLANDO, FL 32829-8404
(407) 382-7926
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
766194100
—
FL
Enumeration date
02/21/2007
Last updated
07/08/2007
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