Organization
CARLOS A. SALUP, M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS A. SALUP M.D. (OWNER)
(772) 778-7844
Entity
Organization
Contact information
Practice address
920 37TH PL, SUITE 105, VERO BEACH, FL 32960-6573
(772) 778-7844
(772) 299-1595
Mailing address
920 37TH PL, SUITE 105, VERO BEACH, FL 32960-6573
(772) 778-7844
(772) 299-1595
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
ME41732
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006AX
FLORIDA BLUE GROUP PROVIDER NUMBER
FL
01
—
96833
FLORIDA BLUE INDIVIDUAL PROVIDER NUMBER
FL
Enumeration date
06/03/2014
Last updated
07/28/2014
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