Individual
ANTOINE SALLOUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33136-1005
(305) 585-1111
(305) 243-8470
Mailing address
1500 NW 12TH AVE, JMT-EAST 1007, MIAMI, FL 33136-1028
(305) 243-4664
(305) 243-8470
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME59063
FL
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
ME0059063
FL
207RI0200X
Infectious Disease Physician
Primary
ME0059063
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0522708-00
—
FL
05
—
3032337-00
—
FL
Enumeration date
07/07/2006
Last updated
05/04/2009
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