Individual
JOHANNA SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1613 N MILLS AVE, ORLANDO, FL 32803-1849
(407) 894-4474
Mailing address
1613 N MILLS AVE, ORLANDO, FL 32803-1849
(407) 894-4474
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
022320
NY
363A00000X
Physician Assistant
Primary
PA9112797
FL
Other
Enumeration date
07/21/2018
Last updated
03/11/2026
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