Provider Demographics
NPI:1053200337
Name:PEREIRA SALOMAO, KATIA (FNP)
Entity type:Individual
Prefix:
First Name:KATIA
Middle Name:
Last Name:PEREIRA SALOMAO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7035 KIWANO WAY
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-6798
Mailing Address - Country:US
Mailing Address - Phone:321-314-2759
Mailing Address - Fax:
Practice Address - Street 1:7035 KIWANO WAY
Practice Address - Street 2:
Practice Address - City:WINDERMERE
Practice Address - State:FL
Practice Address - Zip Code:34786-6798
Practice Address - Country:US
Practice Address - Phone:321-314-2759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11040302363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily