Individual
DR. CARLY NICOLE SALOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
570 AVENUE K SE, WINTER HAVEN, FL 33880-4203
(863) 401-4200
(863) 220-9912
Mailing address
570 AVENUE K SE, WINTER HAVEN, FL 33880-4203
(863) 401-4200
(863) 220-9912
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5703
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109739200
—
FL
Enumeration date
06/11/2019
Last updated
05/12/2021
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