Individual
DR. ENAS SALLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5350 UNIVERSITY PKWY, SUITE 101, SARASOTA, FL 34243-5812
(941) 917-4675
(941) 917-4688
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME79734
FL
208000000X
Pediatrics Physician
ME79734
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262470200
—
FL
01
—
51725
BCBS
FL
Enumeration date
10/24/2005
Last updated
03/09/2020
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