Provider Demographics
NPI:1376618561
Name:SALOMON, JHONNY ABRAHAM (MD)
Entity Type:Individual
Prefix:DR
First Name:JHONNY
Middle Name:ABRAHAM
Last Name:SALOMON
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 1:6705 S.W. 57TH AVE,
Mailing Address - Street 2:SUITE 708
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33140
Mailing Address - Country:US
Mailing Address - Phone:305-772-4480
Mailing Address - Fax:
Practice Address - Street 1:6705 SW 57TH AVE
Practice Address - Street 2:SUITE 708
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-3622
Practice Address - Country:US
Practice Address - Phone:305-270-1361
Practice Address - Fax:305-270-9138
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFLME0074882208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFLME0074882OtherFL MEDICAL LICENSE
FLFLME0074882OtherFL MEDICAL LICENSE
FLFLME0074882OtherFL MEDICAL LICENSE