Individual
EDWIN MANUEL SALAMANCA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2221 NORTH BLVD W, DAVENPORT, FL 33837-8990
(863) 421-7600
(863) 421-7551
Mailing address
PO BOX 667, DAVENPORT, FL 33836-0667
(863) 421-7600
(863) 421-7551
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME64430
FL
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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