Individual
JACQUELINE A SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1223 GATEWAY DR STE 1A, MELBOURNE, FL 32901-2607
(321) 725-4500
(321) 409-1792
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-1982
(321) 409-1792
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP1608612
FL
Other
Enumeration date
05/11/2006
Last updated
07/21/2022
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