Individual
SOPHIA SIMONA SALMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1021 N STATE ROAD 7, ROYAL PALM BEACH, FL 33411
(561) 333-9331
Mailing address
PO BOX 24085, FORT WORTH, TX 76124-1085
(817) 451-4208
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME85896
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266774600
—
FL
01
—
57741
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/03/2006
Last updated
07/23/2018
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