Provider Demographics
NPI:1184672701
Name:SALZMAN, DAMON R (MD)
Entity Type:Individual
Prefix:DR
First Name:DAMON
Middle Name:R
Last Name:SALZMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6245 N FEDERAL HWY, STE 300
Mailing Address - Street 2:SUNRISE MEDICAL GROUP
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-1998
Mailing Address - Country:US
Mailing Address - Phone:954-956-1966
Mailing Address - Fax:954-956-8874
Practice Address - Street 1:12596 PINES BLVD
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33027-1766
Practice Address - Country:US
Practice Address - Phone:954-437-4000
Practice Address - Fax:954-433-5257
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 946122084N0600X
FLME946122084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL7919923OtherAETNA
FL57002OtherBCBS
FL57002OtherBCBS
FLAA276Medicare PIN