Provider Demographics
NPI:1093923849
Name:SALAZAR, FRANCIS E (DO/MPH)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:E
Last Name:SALAZAR
Suffix:
Gender:M
Credentials:DO/MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 N UNIVERSITY DR
Mailing Address - Street 2:SUITE 108
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-3617
Mailing Address - Country:US
Mailing Address - Phone:954-271-7180
Mailing Address - Fax:954-900-8869
Practice Address - Street 1:2301 N UNIVERSITY DR
Practice Address - Street 2:SUITE 108
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-3617
Practice Address - Country:US
Practice Address - Phone:954-271-7180
Practice Address - Fax:954-900-8869
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS10490207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCU992ZMedicare PIN
FLCU992YMedicare PIN