Individual
DANIELA CHIRIBOGA-SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-2120
(904) 244-2896
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
(904) 244-2120
(904) 244-2896
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME101951
FL
207RI0200X
Infectious Disease Physician
ME101951
FL
208000000X
Pediatrics Physician
ME101951
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000070300
—
FL
Enumeration date
09/12/2007
Last updated
06/30/2020
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