Provider Demographics
NPI:1558528026
Name:SALAS, PAULA (MD)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:SALAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 SHIRCLIFF WAY
Mailing Address - Street 2:DILLON BUILDING, SUITE 330
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32204-4780
Mailing Address - Country:US
Mailing Address - Phone:904-384-7370
Mailing Address - Fax:904-384-7851
Practice Address - Street 1:3 SHIRCLIFF WAY
Practice Address - Street 2:DILLON BUILDING, SUITE 330
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32204-4780
Practice Address - Country:US
Practice Address - Phone:904-384-7370
Practice Address - Fax:904-384-7851
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME101290207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine