Individual
PAUL ANTHONY SALAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
STFA
Contact information
Practice address
9071 IRON OAK AVE, TAMPA, FL 33647-3280
(813) 505-0489
Mailing address
9071 IRON OAK AVE, TAMPA, FL 33647-3280
(813) 505-0489
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
90901
FL
Other
Enumeration date
09/14/2019
Last updated
09/14/2019
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