Individual
SALVATORE ANZALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PACOG
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
Update your record
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