Individual
MR. SALVATORE D DILORETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
820 PRUDENTIAL DR STE 112, CREDENTIALING DEPARTMENT, JACKSONVILLE, FL 32207-8204
(904) 396-5996
(904) 398-2480
Mailing address
PO BOX 43667, JACKSONVILLE, FL 32203-3667
(904) 398-3760
(904) 398-2480
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME62183
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME62183
FL
207U00000X
Nuclear Medicine Physician
ME62183
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374015300
—
FL
Enumeration date
04/25/2006
Last updated
11/16/2015
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