Individual
DR. SUZANNE A SALHAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
11808 N 56TH ST, TEMPLE TERRACE, FL 33617-1536
(813) 769-9866
(813) 315-6313
Mailing address
11808 N 56TH ST, TEMPLE TERRACE, FL 33617-1536
(813) 769-9866
(813) 315-6313
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME119290
FL
207Q00000X
Family Medicine Physician
ME119290
FL
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
ME119290
FL
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
ME119290
FL
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
ME119290
FL
208VP0000X
Pain Medicine Physician
ME119290
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
651548
—
FL
01
—
ME119290
ACTIVE LICENSE
FL
01
—
P01430305
R&R MEDICARE
FL
Enumeration date
07/15/2010
Last updated
11/29/2017
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