Individual
SALVATORE ANZALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PACOG
Contact information
Practice address
3425 10TH ST N, NAPLES, FL 34103-3866
(239) 262-1066
(239) 262-2031
Mailing address
1454 MADISON AVE W, IMMOKALEE, FL 34142-2200
(239) 658-3064
(239) 658-3175
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME117687
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010865500
—
FL
01
—
06032A
EPSDT
PA
05
—
1158726
—
PA
Enumeration date
07/11/2005
Last updated
11/29/2016
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