Individual
NICOLE SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
303 E PAR ST, ORLANDO, FL 32804-4003
(321) 842-2299
(321) 843-4101
Mailing address
303 E PAR ST, ORLANDO, FL 32804-4003
(321) 842-2299
(321) 843-4101
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
9116677
FL
363AM0700X
Medical Physician Assistant
Primary
PA9116677
FL
Other
Enumeration date
06/03/2022
Last updated
01/18/2024
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