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Individual

MIGUEL JOSE SALAZAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9800 S HEALTHPARK DR STE 110, FORT MYERS, FL 33908-3630
(239) 343-6202
(239) 343-4159
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-6202
(239) 343-4159

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME173141
FL
208M00000X
Hospitalist Physician
ME173141
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
126863200
FL
Enumeration date
09/12/2017
Last updated
10/15/2025
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