Provider Demographics
NPI:1013037647
Name:CARL A SALVATI M D P A
Entity Type:Organization
Organization Name:CARL A SALVATI M D P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:
Authorized Official - Last Name:SALVATI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-495-4644
Mailing Address - Street 1:13455 MILITARY TRL
Mailing Address - Street 2:SUITE A
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-1320
Mailing Address - Country:US
Mailing Address - Phone:561-495-4644
Mailing Address - Fax:561-495-5191
Practice Address - Street 1:13455 MILITARY TRL
Practice Address - Street 2:SUITE A
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-1320
Practice Address - Country:US
Practice Address - Phone:561-495-4644
Practice Address - Fax:561-495-5191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2013-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00504732084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK0772Medicare PIN