Individual
JONATHAN SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7045 MIRABELLE DR, JACKSONVILLE, FL 32258-8466
(561) 843-7458
Mailing address
7045 MIRABELLE DR, JACKSONVILLE, FL 32258-8466
(561) 843-7458
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9112576
FL
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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