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Individual

ETHAN SALGADO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
380 RINEHART RD, LAKE MARY, FL 32746-2551
(407) 767-1200
Mailing address
24416 BREEZY OAK CT, LUTZ, FL 33559-7921
(813) 465-0824

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
159544
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11044755
FL

Other

Enumeration date
01/06/2026
Last updated
01/15/2026
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