Provider Demographics
NPI:1598816373
Name:SALLAND, ALICIA BETH (MD)
Entity Type:Individual
Prefix:MS
First Name:ALICIA
Middle Name:BETH
Last Name:SALLAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:220 SW 84 AVENUE
Mailing Address - Street 2:SUITE #206
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324
Mailing Address - Country:US
Mailing Address - Phone:954-423-2300
Mailing Address - Fax:954-424-4200
Practice Address - Street 1:220 SW 84 AVENUE
Practice Address - Street 2:SUITE #206
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324
Practice Address - Country:US
Practice Address - Phone:954-423-2300
Practice Address - Fax:954-424-4200
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME70313208000000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG57057Medicare UPIN