Provider Demographics
NPI:1477660959
Name:ROBERT SALAZAR ARNP INC
Entity Type:Organization
Organization Name:ROBERT SALAZAR ARNP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAZAR
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:954-655-0779
Mailing Address - Street 1:5071 SW 119TH AVE
Mailing Address - Street 2:
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33330-4404
Mailing Address - Country:US
Mailing Address - Phone:954-655-0779
Mailing Address - Fax:954-252-1849
Practice Address - Street 1:16800 NW 2ND AVE
Practice Address - Street 2:SUITE 306
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33169-5549
Practice Address - Country:US
Practice Address - Phone:305-305-6516
Practice Address - Fax:305-770-9655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 3248502363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK8752Medicare ID - Type Unspecified