Individual
MR. MATTHEW SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2414 61ST ST E, PALMETTO, FL 34221-8896
(813) 442-9580
Mailing address
2414 61ST ST E, PALMETTO, FL 34221-8896
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108210200
—
FL
Enumeration date
02/17/2021
Last updated
02/17/2021
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