Organization
SALLENT'S PEDIATRIC RESPIRATORY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE ANTONIO SALLENT M.D. (DIRECTOR)
(561) 863-0105
Entity
Organization
Contact information
Practice address
500 N FEDERAL HWY, LAKE PARK, FL 33403-3598
(561) 863-0105
(561) 863-6779
Mailing address
500 N FEDERAL HWY, LAKE PARK, FL 33403-3598
(561) 863-0105
(561) 863-6779
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
ME0038960
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279916200
—
FL
Enumeration date
11/14/2007
Last updated
04/04/2012
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